Kimberly Jo Evans, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2603 Issued in CO

Practice address

5161 E Arapahoe Rd
Suite 415
Centennial, CO 80122-2387

Phone

(303) 741-1077

Fax

(303) 741-1078

NPI assigned

Mar 13, 2013

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)

Enrolled

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1942541198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD",
            "address_2": "SUITE 415",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222387",
            "telephone_number": "303-741-1077",
            "fax_number": "303-741-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD",
            "address_2": "SUITE 415",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222387",
            "telephone_number": "303-741-1077",
            "fax_number": "303-741-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KIMBERLY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert D. Eto, D.D.S.
• John Eun, MD
• Eurofins Donor & Product Testing LLC
• Ellyn Miller Evans, OTD
• Kelli Renae Evans, MSPT
• Jill Everly, RN
• Excel Services Network, Inc.
• Exempla St. Joseph Hospital
• Lauri Exley
• Extended Family Assisted Living Inc

• Psychologist in Centennial, CO
• Providers in Centennial, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.