Peter Evanciew III

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2007004041 Issued in MO

Practice address

6700 Antioch Road
Suite 430
Merriam, KS 66204-1258

Phone

(888) 652-9225

NPI assigned

Apr 7, 2010

Last updated

Apr 7, 2010By the provider in NPPES

Sex

Male

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": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1770808347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 ANTIOCH ROAD",
            "address_2": "SUITE 430",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041258",
            "telephone_number": "888-652-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ANTIOCH ROAD",
            "address_2": "SUITE 430",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041258",
            "telephone_number": "888-652-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANCIEW",
        "first_name": "PETER",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007004041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simran Jyot Arora Elder, M.D.
• Julie M Elkinton, P.T.
• Elizabeth Ann Emerson, CCC-SLP
• David F Emmott, MD
• Megan Dawn Endres, LSCSW, LMAC
• Ashley Evans, APRN, FNP-C
• F.S. Katz Head & Neck, P.a.
• Micaela Fairchild
• Ashley Nicole Faltermeier, RN
• Sydney Fancher

• Registered Nurse in Merriam, KS
• Providers in Merriam, KS by specialty
• Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.