Active NPI
Bernadette Michelle Evitt, P.A.
- Medical Physician Assistant
- Eunice, LA
National Provider Identifier
1962443804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA200167
- Practice address
- 3521 Highway 190
Suite P
Eunice, LA 70535-5135 - Phone
- (337) 457-8040
- Fax
- (337) 457-8043
- NPI assigned
- Jun 10, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102708 | FL | |
| Physician Assistant | 363A00000X | PA.200167 | LA | |
| Medical Physician Assistant | 363AM0700X | PA200167 | LA | Primary |
Addresses
Primary practice location
3521 Highway 190
Suite P
Eunice, LA 70535-5135
Mailing address
3521 Highway 190
Suite P
Eunice, LA 70535-5135
Phone (337) 457-8040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.200167 | LA | MD | Physician Assistant |
| PA200167 | LA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1962443804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3521 HIGHWAY 190",
"address_2": "SUITE P",
"city": "EUNICE",
"state": "LA",
"postal_code": "705355135",
"telephone_number": "337-457-8040",
"fax_number": "337-457-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 HIGHWAY 190",
"address_2": "SUITE P",
"city": "EUNICE",
"state": "LA",
"postal_code": "705355135",
"telephone_number": "337-457-8040",
"fax_number": "337-457-8043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVITT",
"first_name": "BERNADETTE",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9102708",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA.200167",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "LA",
"license": "PA200167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eunice, LA
- Eunice Emergency Group LLC
- Eunice Family Practice, L.L.C.
- Eunice Medical Center Lab
- Eunice Medical Laboratory Inc
- Eunice Medical Specialties, LLC.
- Family Practice Center of Eunice
- Charles S. Feucht, PHARM. D.
- First Choice Medical Solutions of America
- First Choice Non Emergent Medical Transportation, LLC
- First Reliable Medical Supply
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.