Individual provider Active NPI

Karen Williams Evans, RN,FNP-BC

  • Family Nurse Practitioner
  • Snow Hill, NC
National Provider Identifier
1982934410
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005019 Issued in NC
Practice address
227 Kingold Blvd
Suite B
Snow Hill, NC 28580-1303
Phone
(252) 747-8181
Fax
(252) 747-8946
NPI assigned
Jan 6, 2010
Last updated
Jan 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5005019 NC Primary
Registered Nurse 163W00000X 212106 NC
Community Health Registered Nurse 163WC1500X 212106 NC
Maternal Newborn Registered Nurse 163WM0102X 212106 NC
Pediatric Registered Nurse 163WP0200X 212106 NC
Ambulatory Women's Health Care Registered Nurse 163WW0101X 212106 NC
Public Health & General Preventive Medicine Physician 2083P0901X 5005019 NC

Addresses

Primary practice location

227 Kingold Blvd
Suite B
Snow Hill, NC 28580-1303

Mailing address

227 Kingold Blvd
Suite B
Snow Hill, NC 28580-1303
Phone (252) 747-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20191218003228 NC Practitioner - Nurse Practitioner 2264866540 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
212106NCMDAmbulatory Women's Health Care Registered Nurse
5005019NCMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Greene CurrentSince Dec 9, 2019 Accepting new patients

Locations

227 Kingold Blvd
#B
Snow Hill, NC 28580
Phone (252) 747-2544

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1982934410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 KINGOLD BLVD",
            "address_2": "SUITE B",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801303",
            "telephone_number": "252-747-8181",
            "fax_number": "252-747-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 KINGOLD BLVD",
            "address_2": "SUITE B",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801303",
            "telephone_number": "252-747-8181",
            "fax_number": "252-747-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KAREN",
        "middle_name": "WILLIAMS",
        "credential": "RN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005019",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "212106",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NC",
            "license": "212106",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NC",
            "license": "212106",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NC",
            "license": "212106",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "NC",
            "license": "212106",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NC",
            "license": "5005019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, NC

Sources for this page

Verify at the official NPI Registry.