Active NPI
Timothy D Evans, PHD
- Marriage & Family Therapist
- Tampa, FL
National Provider Identifier
1992860969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0001474
- Practice address
- 2111 W Swann
Suite 104
Tampa, FL 33606 - Phone
- (813) 251-8484
- Fax
- (813) 251-8484
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0001474 | FL | Primary |
Addresses
Primary practice location
2111 W Swann
Suite 104
Tampa, FL 33606
Mailing address
2111 W Swann
Suite 104
Tampa, FL 33606
Phone (813) 251-8484
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001474 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992860969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 W SWANN",
"address_2": "SUITE 104",
"city": "TAMPA",
"state": "FL",
"postal_code": "33606",
"telephone_number": "813-251-8484",
"fax_number": "813-251-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 W SWANN",
"address_2": "SUITE 104",
"city": "TAMPA",
"state": "FL",
"postal_code": "33606",
"telephone_number": "813-251-8484",
"fax_number": "813-251-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "TIMOTHY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "0001474",
"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 Jul 8, 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.