Dawn Leslie Evert, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4650 Issued in CO

Practice address

900 Indiana Ave Ste D
Pueblo, CO 81004-3767

Phone

(719) 924-9021

Fax

(719) 924-9166

NPI assigned

Sep 25, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dawn Leslie Carlock Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omnicare Health Solutions IncGroup PAC ID 7517337108, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Omnicare Health Solutions, Inc.

  • Family Medicine Physician
  • Pueblo, CO
  • NPI 1528714979

  CO

  Medicare reassignment Care Compare group NPD
• Family Medicine of Pueblo PLLC

  • Family Medicine Physician
  • Pueblo, CO
  • NPI 1912995929
  NPD (past)

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

{
    "created_epoch": "1127606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1952397952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 INDIANA AVE STE D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043767",
            "telephone_number": "719-924-9021",
            "fax_number": "719-924-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 INDIANA AVE STE D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043767",
            "telephone_number": "719-924-9021",
            "fax_number": "719-924-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERT",
        "first_name": "DAWN",
        "middle_name": "LESLIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-25",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "4650",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "81123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87339056",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "CARLOCK",
            "middle_name": "LESLIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Evans
• Terri A. Evans, PHD
• Hailey Eveatt
• Jill D Even, LMT, CNMT
• Everside Health, LLC
• Lynne M Evetts, NP
• Evolve Counseling Collective LLC
• Excellence in Dentistry of Pueblo One PLLC
• Eye Associates of Colorado Springs, PC
• Eye Care of Colorado, P.C.

• All providers in Pueblo, CO
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.

Verify at the official NPI Registry.