Individual provider Active NPI

Evan Bowers, ATC

  • Athletic Trainer
  • Salina, KS
National Provider Identifier
1922550466
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
24-01049 Issued in KS
Practice address
520 S Santa Fe Ave Ste 240
Salina, KS 67401
Phone
(785) 452-7366
Fax
(785) 452-7354
NPI assigned
Nov 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 24-01049 KS Primary

Addresses

Primary practice location

520 S Santa Fe Ave Ste 240
Salina, KS 67401

Mailing address

520 S Santa Fe Ave Ste 240
Salina, KS 67401-4190
Phone (785) 452-7366

Other practice location 1

1701 S Broadway St
Pittsburg, KS 66762-5856
Phone (620) 755-5278

Other practice location 2

730 E Magnolia Rd
Salina, KS 67401-6941
Phone (785) 309-3700

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

State licenses

LicenseStateTypeSpecialty
24-01049KSMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1922550466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S SANTA FE AVE STE 240",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014190",
            "telephone_number": "785-452-7366",
            "fax_number": "785-452-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S SANTA FE AVE STE 240",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-452-7366",
            "fax_number": "785-452-7354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "KS",
            "postal_code": "667625856",
            "country_code": "US",
            "telephone_number": "620-755-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 E Magnolia Rd",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674016941",
            "country_code": "US",
            "telephone_number": "785-309-3700",
            "fax_number": "785-309-3701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "EVAN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-01",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "24-01049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.