Shira Evans, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86021348 Issued in NH

Practice address

28 Hough St
Lebanon, NH 03766-1246

Phone

(315) 256-5134

NPI assigned

Mar 28, 2020

Sex

Female

Sole proprietor

No

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": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585353600000",
    "number": "1740818632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HOUGH ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HOUGH ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661246",
            "telephone_number": "315-256-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SHIRA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "86021348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Elaine Evans, A.P.R.N.
• Anne M Evans, APRN
• Emily Fuller Evans, CNM
• Rebecca Habenicht Evans, M.D.
• Sharene Evans, APRN
• Kelly Kathleen Everhart, M.S., M. D.
• Eyecare Specialties of New Hampshire PC
• Hesham Ezz, MD
• Dominic Facciponte, MD
• Julie Patterson Fago, M.D.

• Registered Dietitian in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Registered Dietitian in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2020; 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.