Jane Evingham, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN341722L Issued in PA

Practice address

63 N Main St
Port Allegany, PA 16743-1369

Phone

(814) 642-9500

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• Pediatric Services of America, LLC

  • Nursing Care Agency
  • Worcester, MA
  • NPI 1912055732
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962536094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 WRIGHT RD",
            "city": "ELDRED",
            "state": "PA",
            "postal_code": "167313328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 N MAIN ST",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167431369",
            "telephone_number": "814-642-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVINGHAM",
        "first_name": "JANE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "RN341722L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019434310003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Cole Memorial Hospital D/B/a Upmc Cole
• Charles Cole Memorial Hosptial
• Thad Nathan Diehl, D.C.
• Debra Ann Dresser, PA-C
• Edwin M Schott OD PC
• Michael Jerome Farber, RPH
• Rebecca Gardner, PA-C
• Donald Ryan Geci, PA-C
• Viktorija Grajevskaja
• Heather Deimler Kio, CRNP

• Home Health Registered Nurse in Port Allegany, PA
• Providers in Port Allegany, PA by specialty
• Home Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.