Active NPI
Janette Evans
- Adult Health Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 307187
- Practice address
- 155 Lawn Ave
Buffalo, NY 14207 - Phone
- (716) 875-2904
- Fax
- (716) 875-6717
- NPI assigned
- Mar 2, 2015
- Last updated
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 307187 | NY | Primary |
Addresses
Primary practice location
155 Lawn Ave
Buffalo, NY 14207
Mailing address
155 Lawn Ave
Buffalo, NY 14207-1816
Phone (716) 875-2904
Other practice location 1
1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
147 Pelham St
Methuen, MA 01844-2060
Phone (978) 683-3491
150 Park St
Lawrence, MA 01841-2517
Phone (978) 685-1770
34 Haverhill St
Lawrence, MA 01841-2884
Phone (978) 686-0090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307187 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Lawrence Family Health Center Inc | Current | Accepting new patients | |
| Greater Lawrence Family Health Center Inc. | Current | Accepting new patients | |
| Greater Lawrence Family Health Center, Inc. | Current | Accepting new patients | |
| Northeast Medical, P.C. | Current | Accepting new patients |
Locations
150 Park St
Lawrence, MA 01841
Phone (978) 685-1770
34 Haverhill St
Lawrence, MA 01841
147 Pelham St
Methuen, MA 01844
Phone (978) 683-3491
2865 Genesee St
Ste 2
Cheektowaga, NY 14225
Phone (716) 262-0616
Interoperability endpoints
- https://api.platform.athenahealth.com/13610/brand/1/csg/1/fhir/r4
- janette.evans.1@23857.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Lawrence, MA
- NPI 1699774646
-
- Family Medicine Physician
- Cheektowaga, NY
- NPI 1912393406
-
- Internal Medicine Physician
- Amherst, NY
- NPI 1841648011
-
- Hospitalist Physician
- Williamsville, NY
- NPI 1568883080
-
- Federally Qualified Health Center (FQHC)
- Haverhill, MA
- NPI 1003437344
-
- Federally Qualified Health Center (FQHC)
- Lawrence, MA
- NPI 1669685780
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Merrimack Health Lawrence Hospital
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
dba Merrimack Health Methuen Hospital
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
-
dba Northeast Rehabilitation Health Network
- Rehabilitation Hospital
- Salem, NH
- NPI 1255354288
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1942692892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 LAWN AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142071816",
"telephone_number": "716-875-2904",
"fax_number": "716-875-6717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 LAWN AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14207",
"telephone_number": "716-875-2904",
"fax_number": "716-875-6717"
}
],
"practiceLocations": [
{
"address_1": "1540 Maple Rd",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "NY",
"postal_code": "142213647",
"country_code": "US",
"telephone_number": "716-568-3514",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "JANETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "307187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.