Patricia Mary Evans, OTA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

007971 Issued in NY

Practice address

4885 Route 9
Staatsburg, NY 12580-6028

Phone

(845) 889-4034

NPI assigned

Aug 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1679853816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 ALBANY POST RD",
            "address_2": "APT 2",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125383608",
            "telephone_number": "518-779-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 ROUTE 9",
            "city": "STAATSBURG",
            "state": "NY",
            "postal_code": "125806028",
            "telephone_number": "845-889-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "name_prefix": "Miss",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "007971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shontelle Dubois
• Eileen Marie Duffy Traslavina, LCSWR
• Katherine Egan, M.S., SLP
• Kerry Eschbacher, MA
• Beth Patricia Estes, M.A.
• Angela Rose Flanagan, MS, CCC-SLP
• Ian Michael Gallagher, OTR-L
• Gidget Karin Marie Gayton - Kress, MS ED CCC-SLP
• Go Aladdin Transportation
• Eileen Lorraine Goepfert

• Community Health Worker in Staatsburg, NY
• Providers in Staatsburg, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.