Ethan Evans, WRAPAROUND

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2506 Willowbrook Pkwy Ste 111
Indianapolis, IN 46205-1542

Phone

(317) 574-1254

Fax

(317) 674-0060

NPI assigned

Dec 8, 2023

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Male

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspire Indiana Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carmel, IN
  • NPI 1124016050
  NPD
• Aspire Indiana Health Inc

  dba Aspire Indiana Health - Progress House Main

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1346022761
  NPD (past)

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1881461911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 CASTLETON FARMS WEST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561942",
            "telephone_number": "317-750-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 WILLOWBROOK PKWY STE 111",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051542",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ETHAN",
        "credential": "WRAPAROUND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aric Evans Sr.
• Brian Evans, RBT
• Daniela Annette Evans
• Dashelle Evans
• Erica M Evans
• Genevieve Evans
• Gracie Evans
• Jackie L Evans, MD
• James Evans
• Jennifer Rene Evans

• Case Manager/Care Coordinator in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Case Manager/Care Coordinator in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.