Individual provider Active NPI

Chris H Evans, M.S., CCC-A

  • Audiologist
  • Webster, NY
National Provider Identifier
1942367073
Registry record updated Aug 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000141-1 Issued in NY
Practice address
1096 Glen Edyth Dr
Webster, NY 14580-1706
Phone
(585) 671-9925
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000141-1 NY Primary
Hearing Instrument Specialist 237700000X 14000004028 NY

Addresses

Primary practice location

1096 Glen Edyth Dr
Webster, NY 14580-1706

Mailing address

1096 Glen Edyth Dr
Webster, NY 14580-1706
Phone (585) 671-9925

Other identifiers 4

IdentifierTypeStateIssuer
104531AIOtherNYPREFERRED CARE
7433490OtherNYATENA
P010000141OtherNYBCBS
000918334001OtherNYBCBS WNY

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000141-1NYMDAudiologist
14000004028NYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Audiology Professionals Audiologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250985600000",
    "number": "1942367073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 GLEN EDYTH DR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801706",
            "telephone_number": "585-671-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 GLEN EDYTH DR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801706",
            "telephone_number": "585-671-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CHRIS",
        "middle_name": "H",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2009-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000141-1",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000004028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "104531AI",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATENA",
            "identifier": "7433490",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P010000141",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WNY",
            "identifier": "000918334001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

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