Individual provider Active NPI

Stephanie Daneen Evans, FNP-C

  • Family Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1710547609
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95011861 Issued in CA
Practice address
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone
(252) 413-6260
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5020397 NC
Family Nurse Practitioner 363LF0000X APRN11007467 FL
Family Nurse Practitioner 363LF0000X NP95011861 CA Primary

Addresses

Primary practice location

1850 W Arlington Blvd
Greenville, NC 27834-5704

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-8888

Other practice location 1

8416 Tidal Breeze Dr
Riverview, FL 33569-4722
Phone (407) 647-2346

Other practice location 2

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200110000441 CA Practitioner - Nurse Practitioner 6305271818 Reassigns benefits to 6 organizations
I20240813002417 NC Practitioner - Nurse Practitioner 6305271818
I20250522003419 TX Practitioner - Nurse Practitioner 6305271818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95011861CAMDFamily Nurse Practitioner
APRN11007467FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jun 9, 2025 Accepting new patients
UCSF Pediatrics Associates CurrentSince Jun 15, 2022 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 15, 2022 Accepting new patients
University of California San Francisco CurrentSince Jun 15, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 9, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 15, 2022 Accepting new patients
University of California San Francisco Current Accepting new patients
University Surgeons of Orange a Medical Group CurrentSince Mar 7, 2025 Accepting new patients
UCSF Dept of Surgery CurrentSince Jun 15, 2022 Accepting new patients
University of California San Francisco CurrentSince Jun 15, 2022 Accepting new patients
Regents of the University of California CurrentSince Jun 15, 2022 Accepting new patients

Locations

200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1825 4th St
Fl 4
San Francisco, CA 94143
Phone (415) 353-9888

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: sevans228163@direct-ucsfmedicalcenter.org

Organizations & group practices 12

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1710547609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219",
            "telephone_number": "714-456-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345704",
            "telephone_number": "252-413-6260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8416 Tidal Breeze Dr",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335694722",
            "country_code": "US",
            "telephone_number": "407-647-2346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 The City Dr S",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "714-456-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "STEPHANIE",
        "middle_name": "DANEEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020397",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007467",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95011861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.