Alisa Louise Evans, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703127487 Issued in MI

Practice address

16126 Sussex St
Detroit, MI 48235-3852

Phone

(734) 772-8927

NPI assigned

Jun 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alisa L Johnson Former name

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": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1821833195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16126 SUSSEX ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353852",
            "telephone_number": "734-772-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16126 SUSSEX ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353852",
            "telephone_number": "734-772-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ALISA",
        "middle_name": "LOUISE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703127487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "JOHNSON",
            "middle_name": "L",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maristella S Evangelista, MD
• Evans Counseling & Vocational Assessment L.L.C.
• Janet Maria Evans-Covington
• Andrea Lanisha Evans-Kirk
• Alden Evans, B.A.
• Brooke N Evans
• Donna Marie Evans
• Eddie Jerome Evans
• George Edward Evans, D.O.
• Harmon Louis Evans, LBSW

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.