Terri Jean Evans, REGISTERED NURSE

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R076851 Issued in AR

Practice address

4601 JFK Blvd Ste 94025
North Little Rock, AR 72116-7310

Phone

(501) 420-3703

NPI assigned

Jan 7, 2018

Last updated

Apr 21, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Position CPR LLC

  • Local Education Agency (LEA)
  • North Little Rock, AR
  • NPI 1831604024
  NPD (past) Authorized official

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1952818353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94545",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721904545",
            "telephone_number": "501-420-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 JFK BLVD STE 94025",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167310",
            "telephone_number": "501-420-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TERRI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-07",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AR",
            "license": "R076851",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "AR",
            "license": "R076851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Etheredge
• Krystal Renee Eubanks
• James Alford Evans-Hammond, LCSW
• Mander Heath Evans, LCSW
• Shelly Lynn Evans, APN
• Tionna Angeline Evans
• Michelle Everest
• Danielle Nicole Everett, MHPP
• Kandyce Everett
• Tara Everitt, OCCUPATIONAL THERAPI

• Home Health Registered Nurse in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Home Health Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.