Active NPI
Lachelle Evans, FNP-C
- Family Nurse Practitioner
- Suffolk, VA
National Provider Identifier
1750746210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024173137
- Practice address
- 120 Woodlake Ter
Suffolk, VA 23434-2039 - Phone
- (757) 409-0410
- NPI assigned
- Dec 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024173137 | VA | Primary |
Addresses
Primary practice location
120 Woodlake Ter
Suffolk, VA 23434-2039
Mailing address
120 Woodlake Ter
Suffolk, VA 23434-2039
Phone (757) 799-0992
Other names 1
- Mrs. Lachelle Blunt-Evans
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1750746210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WOODLAKE TER",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234342039",
"telephone_number": "757-799-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WOODLAKE TER",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234342039",
"telephone_number": "757-409-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "LACHELLE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-28",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024173137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LACHELLE",
"last_name": "BLUNT-EVANS",
"prefix": "MRS.",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.