Active NPI
Melissa Ann Evans, R.T.
- Radiologic Technologist
- Chattanooga, TN
National Provider Identifier
1972815470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- MDX0000006421
- Practice address
- 1501 Riverside Dr
Suite 120
Chattanooga, TN 37406-4309 - Phone
- (423) 634-3110
- NPI assigned
- Jul 13, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | MDX0000006421 | TN | Primary |
Addresses
Primary practice location
1501 Riverside Dr
Suite 120
Chattanooga, TN 37406-4309
Mailing address
715 Horton Rd W
Fort Payne, AL 35968-3424
Phone (256) 996-3350
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDX0000006421 | TN | MD | Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennesee Department of Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Chattanooga, TN
- NPI 1265570600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1972815470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 HORTON RD W",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359683424",
"telephone_number": "256-996-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 RIVERSIDE DR",
"address_2": "SUITE 120",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374064309",
"telephone_number": "423-634-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "R.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "TN",
"license": "MDX0000006421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.