Jennifer Asican Evans, FNP-C, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95012648 Issued in CA

Practice address

2382 Faraday Ave Ste 100
Carlsbad, CA 92008-7219

Phone

(858) 209-9871

Fax

(858) 939-1595

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in CA

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Serene Mynd Psychiatric Nursing Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Roseville, CA
  • NPI 1730919929
  Medicare reassignment NPD Authorized official
• Inspire Psychiatric Nursing Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Carlsbad, CA
  • NPI 1649788472
  Medicare reassignment NPD
• Rancho Cordova Medical Clinic and Urgent Care

  • Internal Medicine Physician
  • Rancho Cordova, CA
  • NPI 1487064952
  Medicare reassignment NPD
• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Lilium Psychiatric Nursing Services Inc

  • Nurse Practitioner
  • Carlsbad, CA
  • NPI 1609629948
  NPD

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1952950263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 TRUXEL RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958331823",
            "telephone_number": "916-284-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2382 FARADAY AVE STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087219",
            "telephone_number": "858-209-9871",
            "fax_number": "858-939-1595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Coyle Ave",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956080400",
            "country_code": "US",
            "telephone_number": "916-330-4447",
            "fax_number": "916-332-0207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JENNIFER",
        "middle_name": "ASICAN",
        "credential": "FNP-C, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012648",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95012648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naveed Etemadipour
• Leighla Etters, AMFT159183
• Evan K Winograd, M.D., Professional Corporation
• Carol S Evans, O.D.
• Evelyn Louise Evans, PA-C, MS
• Yamilda Yahira Evans
• Bennett Even
• Excelsior Care LLC
• Exos - Athletes' Performance San Diego
• Explorer Development Center

• Psychiatric/Mental Health Nurse Practitioner in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.