Pauline Denise Evans, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

41465 Issued in WV

Practice address

35 Ariel Dr
Hurricane, WV 25526-1742

Phone

(530) 570-6936

NPI assigned

Jul 17, 2024

Last updated

Jul 17, 2024By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1720826340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ARIEL DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255261742",
            "telephone_number": "530-570-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ARIEL DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255261742",
            "telephone_number": "530-570-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PAULINE",
        "middle_name": "DENISE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "41465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger A Erwin
• Jonathan David Estes, MD
• Katie Taylor Ethridge, MOT, OTRL
• Wendy G Etzkorn, MSW LICSW
• Charles Evans II
• Evolutionary Healthcare West Virginia PLLC
• Excel Physical Therapy and Sports Performance, LLC
• Eye Associates, PLLC
• Lisa Rae Eye, PT
• Rachel Ashley Fairhurst, PA-C

• Licensed Practical Nurse in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Licensed Practical Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.