Individual provider Active NPI

Amanda R Evans, RNFA

  • Registered Nurse First Assistant
  • Morgantown, WV
National Provider Identifier
1770118663
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
78711 Issued in WV
Practice address
600 Suncrest Town Centre Dr Ste 310
Morgantown, WV 26505-1873
Phone
(304) 598-2200
Fax
(304) 599-2674
NPI assigned
Mar 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 78711 WV Primary

Addresses

Primary practice location

600 Suncrest Town Centre Dr Ste 310
Morgantown, WV 26505-1873

Mailing address

600 Suncrest Town Centre Dr Ste 310
Morgantown, WV 26505-1873
Phone (304) 598-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address evansa@direct.monhealthsys.org Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
78711WVMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1770118663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUNCREST TOWN CENTRE DR STE 310",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051873",
            "telephone_number": "304-598-2200",
            "fax_number": "304-599-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUNCREST TOWN CENTRE DR STE 310",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051873",
            "telephone_number": "304-598-2200",
            "fax_number": "304-599-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WV",
            "license": "78711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evansa@direct.monhealthsys.org",
            "affiliation": "N",
            "endpointDescription": "Mon Health Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 Suncrest Town Centre Dr Ste 310",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265051873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.