Individual provider Active NPI

Fe Marie Terese Evangelista, D.C.

  • Internist Chiropractor
  • League City, TX
National Provider Identifier
1669664355
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
10342 Issued in TX
Practice address
1100 Gulf Fwy S
Suite 122
League City, TX 77573-5153
Phone
(281) 557-3339
Fax
(832) 932-5223
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 10342 TX Primary

Addresses

Primary practice location

1100 Gulf Fwy S
Suite 122
League City, TX 77573-5153

Mailing address

1100 Gulf Fwy S
Suite 122
League City, TX 77573-5153
Phone (281) 557-3339

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

Practice roles

OrganizationSpecialtyStatusNew patients
League City Family Chiropractic PC PastSince Aug 15, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1669664355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GULF FWY S",
            "address_2": "SUITE 122",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735153",
            "telephone_number": "281-557-3339",
            "fax_number": "832-932-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GULF FWY S",
            "address_2": "SUITE 122",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735153",
            "telephone_number": "281-557-3339",
            "fax_number": "832-932-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "FE MARIE",
        "middle_name": "TERESE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "TX",
            "license": "10342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.