Kim Evans, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

1-120795 Issued in AL

Practice address

3809 Sullivan St Ste 3
Madison, AL 35758-2366

Phone

(256) 325-0178

Fax

(256) 542-1962

NPI assigned

Aug 29, 2022

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1831819267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 OLD BIG COVE RD SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357639762",
            "telephone_number": "985-856-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 SULLIVAN ST STE 3",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582366",
            "telephone_number": "256-325-0178",
            "fax_number": "256-542-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AL",
            "license": "1-120795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim@tnvalleylactationsupport.com",
            "affiliation": "N",
            "address_1": "3809 Sullivan St Ste 3",
            "city": "Madison",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357582366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Alison Ruth Ethridge
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• Kimberly L Evans, LICSW
• Landon Neal Evans, PT
• Maria Michelle Evans, PHARM.D.
• Everyday People Inc.
• Eyecare Associates, Inc.

• Lactation Consultant (Registered Nurse) in Madison, AL
• Providers in Madison, AL by specialty
• Lactation Consultant (Registered Nurse) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.