Active NPI
Timothy Evans
- Registered Nurse
- Lakewood, CO
National Provider Identifier
1740602739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1624077
- Practice address
- 715 S Flower St
Lakewood, CO 80226-4116 - Phone
- (303) 246-3796
- NPI assigned
- Jan 10, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1624077 | CO | Primary |
Addresses
Primary practice location
715 S Flower St
Lakewood, CO 80226-4116
Mailing address
715 S Flower St
Lakewood, CO 80226-4116
Phone (303) 246-3796
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1624077 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1740602739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 S FLOWER ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802264116",
"telephone_number": "303-246-3796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S FLOWER ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802264116",
"telephone_number": "303-246-3796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-10",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "1624077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
- Erika Leigh Etnyre, MD
- Georgia Virginia Eubanks, PT, DPT
- Alexandra D Evans
- Justin Evans
- Lesley Lia Evans, PSY.D., LPC
- Evening Elegance LLC (Evening Elegance)
- Evening Elegance LLC
- Reine Evereteze, PSY.D.
- Everett Court Operations, LLC (Foothills Rehabilitation and Skilled Nursing)
- Evergreen Psychiatry PLLC (Evergreen Psychiatry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.