Individual provider Active NPI

Kaye Arlene Evansrt(, RT(R)MR

  • Community Health Worker
  • Ypsilanti, MI
National Provider Identifier
1891933115
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
9273 Nature View Lane
Ypsilanti, MI 48197-1400
Phone
(734) 434-4620
NPI assigned
Jan 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

9273 Nature View Lane
Ypsilanti, MI 48197-1400

Mailing address

9273 Nature View Lane
Ypsillanti, MI 48197-1400
Phone (734) 434-4629

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": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1891933115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9273 NATURE VIEW LANE",
            "city": "YPSILLANTI",
            "state": "MI",
            "postal_code": "481971400",
            "telephone_number": "734-434-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9273 NATURE VIEW LANE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971400",
            "telephone_number": "734-434-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANSRT(",
        "first_name": "KAYE",
        "middle_name": "ARLENE",
        "name_prefix": "Mrs.",
        "credential": "RT(R)MR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.