Evelyn Smith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R547115 Issued in MS

Practice address

121 S Virgie St
Drew, MS 38737-3334

Phone

(662) 745-2331

NPI assigned

May 11, 2010

Last updated

May 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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

• Community Health Clinic

  • Family Medicine Physician
  • Isola, MS
  • NPI 1982902458
  NPD (past)
• J and R Chiropractic Inc.

  • Chiropractor
  • Cleveland, MS
  • NPI 1588868194
  NPD (past)
• Julia Street Clinic, Inc.

  • Community Health Clinic/Center
  • Isola, MS
  • NPI 1740310549
  NPD (past)

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1679891964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S VIRGIE ST",
            "address_2": "P.O. BOX 304",
            "city": "DREW",
            "state": "MS",
            "postal_code": "387373334",
            "telephone_number": "662-745-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S VIRGIE ST",
            "city": "DREW",
            "state": "MS",
            "postal_code": "387373334",
            "telephone_number": "662-745-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EVELYN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R547115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Delta Adult Daycare of Drew Inc.
• Scallion Family Medical Clinic LLC
• Brooke Scallion, FNP-C
• Serene Hospice Group
• Shaw Family Medical, LLC (Gough's Family Medical Clinic)
• Jeri L. Thompson, ST

• Family Nurse Practitioner in Drew, MS
• Providers in Drew, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.