Samantha Jean Evans, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

28327 Issued in WV

Practice address

21 E Main St Ste 302
Buckhannon, WV 26201-2910

Phone

(304) 473-6802

NPI assigned

Sep 14, 2022

Last updated

Sep 14, 2022By 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

Other names 1

• Samantha Jean Simons Former name

Electronic endpoints 1

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1902528128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WOODY DR",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012437",
            "telephone_number": "304-940-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E MAIN ST STE 302",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012910",
            "telephone_number": "304-473-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SAMANTHA",
        "middle_name": "JEAN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "28327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop/tablet",
            "affiliation": "N",
            "address_1": "21 E Main St Ste 302",
            "city": "Buckhannon",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262012910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "SIMONS",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Joyce Elmore, LMT
• Emergency Site Protection
• Rae Lee Emrick, ATC, CSCS
• Rosemary Endrizzi
• Holly Evans, PHARMD
• Connie H Everett, MS,CCC/SLP
• Charissa Everson
• Collean Farnsworth
• Kimberly M Farry, M.D.
• Fast & Friendly Pharmacy Buckhannon LLC

• Licensed Practical Nurse in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Licensed Practical Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.