Active NPI
Geni L Evans, NP
- Nurse Practitioner
- Lewiston, ID
National Provider Identifier
1659695047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 21422A
- Practice address
- 1522 17TH St
Lewiston, ID 83501-3652 - Phone
- (208) 743-8416
- NPI assigned
- Mar 15, 2010
- Last updated
- Mar 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 21422A | ID | Primary |
Addresses
Primary practice location
1522 17TH St
Lewiston, ID 83501-3652
Mailing address
1522 17TH St
Lewiston, ID 83501-3652
Phone (208) 743-8416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21422A | ID | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330905600000",
"number": "1659695047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1522 17TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835013652",
"telephone_number": "208-743-8416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 17TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835013652",
"telephone_number": "208-743-8416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "GENI",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-15",
"last_updated": "2012-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "21422A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ID
- Nicole M Engledow, ARPN
- Gregory A English, DO
- Jennifer Elaine Erickson, OD
- Essential Womens Wellness
- Daniel Nile Evans, O.D.
- Russell L Evans, PA-C
- Doyle Gary Evers, D.D.S.
- Facial Oral and Dental Implant Surgery Associates, Inc. (Oral and Facial Surgery)
- Robert Kenneth Fairbanks, M.D.
- Amber Farance, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.