Active NPI
Evelyn S Doyle, MSN,CNM,FNP
- Family Nurse Practitioner
- Eureka, CA
National Provider Identifier
1710070966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12042
- Practice address
- 720 Wood St
Eureka, CA 95501-4413 - Phone
- (707) 445-7710
- NPI assigned
- Oct 2, 2006
- 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 | 12042 | CA | Primary |
Addresses
Primary practice location
720 Wood St
Eureka, CA 95501-4413
Mailing address
1464 Lindale CT
Eureka, CA 95501-1343
Phone (847) 767-7177
Other practice location 1
1701 E Kensington Rd
Mount Prospect, IL 60056
Phone (866) 825-3227
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
- Certified Nurse Midwife, Master of Science - Nursing, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1710070966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1464 LINDALE CT",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011343",
"telephone_number": "847-767-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WOOD ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014413",
"telephone_number": "707-445-7710"
}
],
"practiceLocations": [
{
"address_1": "1701 E Kensington Rd",
"address_purpose": "LOCATION",
"city": "Mount Prospect",
"state": "IL",
"postal_code": "60056",
"country_code": "US",
"telephone_number": "866-825-3227",
"fax_number": "484-351-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOYLE",
"first_name": "EVELYN",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "MSN,CNM,FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2022-09-14",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "12042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.