Active NPI
Tamara Louise Evans, RN
- Home Health Registered Nurse
- Lake Geneva, WI
National Provider Identifier
1871882639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 173443-030
- Practice address
- 7172 Buckby Rd.
Lake Geneva, WI 53147-3600 - Phone
- (262) 248-3036
- NPI assigned
- Apr 1, 2011
- Last updated
- Apr 1, 2011
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 173443-030 | WI | Primary |
Addresses
Primary practice location
7172 Buckby Rd.
Lake Geneva, WI 53147-3600
Mailing address
7172 Buckby Rd.
Lake Geneva, WI 53147-3600
Phone (262) 248-3036
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173443-030 | WI | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301616000000",
"number": "1871882639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7172 BUCKBY RD.",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531473600",
"telephone_number": "262-248-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7172 BUCKBY RD.",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531473600",
"telephone_number": "262-248-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "TAMARA",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2011-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WI",
"license": "173443-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.