Organization Active NPI

Shelly Evans DC Inc

  • Nutrition Chiropractor
  • Tampa, FL
National Provider Identifier
1972759454
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
CH7587 Issued in FL
Legal business name
SHELLY EVANS DC INC
Practice address
6800 N Dale Mabry Hwy Ste 120
Tampa, FL 33614-3959
Phone
(813) 404-7619
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Dr. Shelly Lynn Evans, D.C.
Title
Owner/President
Phone
(813) 404-7619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X CH7587 FL Primary

Addresses

Primary practice location

6800 N Dale Mabry Hwy Ste 120
Tampa, FL 33614-3959

Mailing address

6800 N Dale Mabry Hwy Ste 120
Tampa, FL 33614-3959
Phone (813) 404-7619

National Provider Directory

National Provider Directory

Locations

6800 N Dale Mabry Hwy
Ste 120
Tampa, FL 33614
Phone (813) 404-7619

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1972759454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 N DALE MABRY HWY STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143959",
            "telephone_number": "813-404-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N DALE MABRY HWY STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143959",
            "telephone_number": "813-404-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY EVANS DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "813-404-7619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH7587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.