Amanda Evans

Primary specialty

SpecialistTaxonomy code 174400000X

License

70376 Issued in CT

Practice address

256 Boston Post Rd
Waterford, CT 06385-2054

Phone

(860) 222-5513

NPI assigned

Jul 26, 2025

Last updated

Jul 31, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Wig RX LLC

  • Prosthetic/Orthotic Supplier
  • Waterford, CT
  • NPI 1033091376
  NPD Authorized official
• Wig RX LLC

  • Durable Medical Equipment & Medical Supplies
  • Waterford, CT
  • NPI 1619858180
  NPD Authorized official

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

{
    "created_epoch": "1753488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1922981216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 S FRONTAGE RD # 1036",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202641",
            "telephone_number": "860-222-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852054",
            "telephone_number": "860-222-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-26",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "70376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Elci, PT
• Joyce Morgan Elias, LPC
• Tyler Ellison, L.A.C
• Amr Ahmed Elmeki, M.D.
• Anna Lyn Esposito, RPT
• Ewcw LLC
• Elizabeth Fague
• Stephen F. Fedus III, O.D.
• Barry Stewart Feldman, MD
• Mark N Fiengo, DO

• Specialist in Waterford, CT
• Providers in Waterford, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.