Candice A Evans, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2004011931 Issued in MO

Practice address

3709 Saint Kevin Park Dr
Saint Ann, MO 63074-2546

Phone

(314) 337-5463

NPI assigned

Apr 3, 2017

Last updated

Apr 3, 2017By the provider in NPPES

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

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1851823405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 SAINT KEVIN PARK DR",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630742546",
            "telephone_number": "314-337-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 SAINT KEVIN PARK DR",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630742546",
            "telephone_number": "314-337-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CANDICE",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2004011931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Diane Craig, RN
• Keri Sherice-Dantley Davis, PLMFT
• Kate Doveikis
• Lisa Ann Entwistle, OTR
• Essential Lab LLC
• Mallory J Evans
• Evident Dental LLC
• Express on the Go Medical Services LLC
• Eyedeology Vision Center LLC
• Terrell Matthew Fisher

• Licensed Practical Nurse in Saint Ann, MO
• Providers in Saint Ann, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.