Evelyn Christina Conner, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1016417 Issued in TX

Practice address

2440 Timber Ridge Dr Ste 101
Frisco, TX 75034-5048

Phone

(972) 618-3547

NPI assigned

Aug 14, 2021

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

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: econner495698@direct.sw.org

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.

• Dallas Physician Medical Services for Children Inc

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1558407908
  NPD (past)
• Physicians for Children

  • Social Worker
  • Dallas, TX
  • NPI 1558771014
  NPD (past)

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1710652367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 GRAPEVINE MILLS PKWY UNIT 321",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511991",
            "telephone_number": "972-679-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 TIMBER RIDGE DR STE 101",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345048",
            "telephone_number": "972-618-3547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 W Spring Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750234189",
            "country_code": "US",
            "telephone_number": "972-618-3547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "EVELYN",
        "middle_name": "CHRISTINA",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1016417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Elaine Conley, L.C.S.W.
• Connections Primary Care Frisco
• Connectory Health LLC
• Kelley Connell, LCSW
• Lynne Connelly, N.N.P.
• Claire Connor, DNP, CPNP, PC
• Amanda Conover
• Conquer Fitness and Performance LLC
• Conrad Spine and Sport
• Nicholas Conrad, DC

• Pediatric Nurse Practitioner in Frisco, TX
• Providers in Frisco, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.