Evonne Ehimeohomon Evien, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95394830 Issued in CA

Practice address

2719 Penitencia Creek Rd
San Jose, CA 95132-2923

Phone

(408) 770-2115

NPI assigned

Jan 20, 2025

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

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.

• Evonne'S Residential Care Facility

  • Assisted Living Facility
  • San Jose, CA
  • NPI 1356152292
  NPD Authorized official

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1992516835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 S 8TH ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123946",
            "telephone_number": "408-702-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 PENITENCIA CREEK RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322923",
            "telephone_number": "408-770-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVIEN",
        "first_name": "EVONNE",
        "middle_name": "EHIMEOHOMON",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95394830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Valley Home Health LLC
• Jacinta Evergreen
• Everguard Home Care LLC
• Kate Shirley Everhardt
• Everly Care Home LLC
• Evoke Acupuncture
• Evolve Growth Initiatives LLC
• Evon Cadogan MD Inc
• Evonne'S Residential Care Facility
• Tai Ewell

• Registered Nurse in San Jose, CA
• Providers in San Jose, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.