Active NPI
Donna Ross Evans, MS, RDN
- Registered Dietitian
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 912673
- Practice address
- 100 Centurylink Dr
Monroe, LA 71203-2041 - Phone
- (318) 582-7272
- NPI assigned
- Jan 11, 2022
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 912673 | LA | Primary |
Addresses
Primary practice location
100 Centurylink Dr
Monroe, LA 71203-2041
Mailing address
105 Wyndot Cir
West Monroe, LA 71291-8152
Phone (318) 237-3732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, TX, AZ
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
106 Wyndot Cir
West Monroe, LA 71291-8152
1710 Keller Pkwy
Suite 6565
Keller, TX 76248-3749
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1768 | LA | MD | Chiropractor |
| 912673 | LA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Season Clinical Care NJ PC | Dietitian, Registered | Current | Accepting new patients |
| Surely Health, Inc. | Dietitian, Registered | Current | Accepting new patients |
| H-E-B, LP | Past | Accepting new patients | |
| Season Clinical Care P.a. | Dietitian, Registered | Past | Accepting new patients |
Locations
130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926
1719 Highway 10
Parsippany, NJ 07054
1719 Highway 10
Ste 300
Parsippany, NJ 07054
6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489
1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364
Interoperability endpoints
- cormedicalllc.donnaevans@161340.advancedmd-direct.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Austin, TX
- NPI 1073622411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1801547906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 WYNDOT CIR",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712918152",
"telephone_number": "318-237-3732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CENTURYLINK DR",
"city": "MONROE",
"state": "LA",
"postal_code": "712032041",
"telephone_number": "318-582-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "DONNA",
"middle_name": "ROSS",
"name_prefix": "Ms.",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "912673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.