Active NPI
Wylie Evanson
- Student in an Organized Health Care Education/Training Program
- Sparks, NV
National Provider Identifier
1831577592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1001 Pyramid Way Ste 202
Sparks, NV 89431-4470 - Phone
- (775) 742-1235
- NPI assigned
- May 14, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1001 Pyramid Way Ste 202
Sparks, NV 89431-4470
Mailing address
PO Box 21044
Reno, NV 89515-1044
Phone (775) 830-7774
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1831577592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21044",
"city": "RENO",
"state": "NV",
"postal_code": "895151044",
"telephone_number": "775-830-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PYRAMID WAY STE 202",
"city": "SPARKS",
"state": "NV",
"postal_code": "894314470",
"telephone_number": "775-742-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANSON",
"first_name": "WYLIE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-14",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.