Active NPI
Nancy Jane Evans, RNC
- Family Nurse Practitioner
- Irvine, CA
National Provider Identifier
1679693055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- B277368
- Practice address
- 4870 Barranca Pkwy
200
Irvine, CA 92604-4709 - Phone
- (949) 559-4870
- Fax
- (949) 559-5628
- NPI assigned
- Mar 30, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | B277368 | CA | Primary |
Addresses
Primary practice location
4870 Barranca Pkwy
200
Irvine, CA 92604-4709
Mailing address
20353 Shannon CT
Diamond Bar, CA 91765
Phone (909) 860-4256
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B277368 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679693055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20353 SHANNON CT",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "91765",
"telephone_number": "909-860-4256",
"fax_number": "949-559-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4870 BARRANCA PKWY",
"address_2": "200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044709",
"telephone_number": "949-559-4870",
"fax_number": "949-559-5628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "NANCY",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "RNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "B277368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.