Rachelle Evans

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

786 Ferndale Rd
Mansfield, OH 44907-1757

Phone

(567) 560-3193

NPI assigned

Mar 27, 2021

Last updated

Mar 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1790362473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 CHERRY ST",
            "city": "GALION",
            "state": "OH",
            "postal_code": "448332403",
            "telephone_number": "740-602-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 FERNDALE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071757",
            "telephone_number": "567-560-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RACHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "revans@iamboundless.org",
            "affiliation": "N",
            "endpointDescription": "Workplace email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "786 Ferndale Rd",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449071757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick Ray Eutsey
• Charlotte Evans, PTA
• Jillian Evans, PHARMACIST
• Michelle Evans
• Mistilynn Sue Evans
• Tina Evans
• Evergreen Clinical Mental Health Counseling LLC
• Shalom Faith Ewing, LPN
• Express Imaging
• Katherine Rebecca Exten, M.D.

• Case Manager/Care Coordinator in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.