MRS. MARY ANN EVANS (NPI# 1003179888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003179888 |
| Entity Type | Individual |
| Full Name | MRS. MARY ANN EVANS |
| Credential | RN4 |
| Practice Address |
1035 Creswell Ave Shreveport LA 71101-3917 |
| Mailing Address |
538 Corrine Pl Waskom TX 75692-5008 |
| Practice Telephone | 3186765286 |
| Practice Fax Number | 3186765221 |
| Mailing Telephone | 9036873939 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN066385 | LA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528417201 | Mary Evans | Nurse Practitioner | 645 Maryville Centre Dr, Saint Louis, MO 63141-5846 | 2016-06-03 |
| 1740613934 | Mary Karen Evans | Community Health Worker | 3115 Arthur Dr, Lake Havasu City, AZ 86404-9742 | 2013-08-12 |
| 1679770622 | Mary Lee Evans | Counselor | 1630 Dale Earnhardt Blvd, Kannapolis, NC 28083-3210 | 2007-07-02 |
| 1497966675 | Mary Yvonne Evans | Counselor | 24718 Templar Ave, Southfield, MI 48075-6937 | 2007-05-27 |
| 1336299411 | Mary P Evans | Massage Therapist | 16410 35th Avenue Ne, Ste 309, Arlington, WA 98223 | 2007-01-11 |
| 1477103661 | Mary Evans | Social Worker | 1025 Executive Park Blvd, Kingsport, TN 37660-4620 | 2019-09-19 |
| 1275181851 | Mary Leann Evans | Pharmacist | 950 15th St, Augusta, GA 30901-2608 | 2019-08-28 |
| 1073083119 | Mary Elizabeth Evans | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2018-12-02 |
| 1205324266 | Mary Louise Evans | Physical Therapist | 4200 Park Ave, Bridgeport, CT 06604-1049 | 2018-04-25 |
| 1083157127 | Mary Evans | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2016-11-21 |
| Street Address |
1035 CRESWELL AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-3917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811030018 | Rosalyn J Ferriss | Nurse Practitioner | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2007-02-15 |
| 1588050769 | Barbara Shepherd | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2015-04-14 |
| 1972859973 | Stephanie Dyan Tarver | Nutritionist | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-07-27 |
| 1528321106 | Yolanda Thomas Chandler | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-19 |
| 1093078776 | Donna Moore | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-19 |
| 1780947606 | Marjorie Irene Dobbs | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-18 |
| 1831452663 | Chris Ebarb | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-18 |
| 1770846693 | Carolyn Baxter Priddy | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-18 |
| 1558623439 | Kelly Martin Gardner | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-15 |
| 1558623413 | Angela P Rowell | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366003733 | Jermaine Antonio Johnson | Registered Nurse | 3341 Youree Dr Ste 205, Shreveport, LA 71105-2149 | 2019-06-25 |
| 1588050769 | Barbara Shepherd | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2015-04-14 |
| 1528321106 | Yolanda Thomas Chandler | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-19 |
| 1093078776 | Donna Moore | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-19 |
| 1780947606 | Marjorie Irene Dobbs | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-18 |
| 1831452663 | Chris Ebarb | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-18 |
| 1770846693 | Carolyn Baxter Priddy | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-18 |
| 1558623439 | Kelly Martin Gardner | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-15 |
| 1558623413 | Angela P Rowell | Registered Nurse | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2012-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922665595 | Bridget L Bordelon | Registered Nurse | 657 Government St, Marksville, LA 71351-2945 | 2019-05-20 |
| 1386114957 | Trenai' Augusta Lewis | Registered Nurse | Use 3100 General Degaulle, New Orleans, LA 70114 | 2018-11-27 |
| 1427566629 | Kristy Lee | Registered Nurse | 1006 Stephen St, Scott, LA 70583-5634 | 2018-01-22 |
| 1053824409 | Mary Melissa Gates | Registered Nurse | 5604 Coliseum Blvd Ste A, Alexandria, LA 71303-3993 | 2017-11-08 |
| 1437553807 | Cheryl Smith | Registered Nurse | 330 West Oak, Amite, LA 70422 | 2014-10-14 |
| 1548683873 | Bonnie Aycock | Registered Nurse | 3706 Main St, Belle Chasse, LA 70037-3002 | 2014-01-22 |
| 1447691969 | Maria T Abudiab | Registered Nurse | 107 Recreation Center Lane, Cameron, LA 70631 | 2013-07-12 |
| 1073958237 | Alyce Braud Gilmore | Registered Nurse | 107 Recreation Center Drive, Cameron, LA 70631-1430 | 2013-05-01 |
| 1801132279 | Keela Marie Hawkins | Registered Nurse | 3616 S. I-10 Service Rd, Metairie, LA 70058 | 2012-12-12 |
| 1861755167 | Frances Rose Strickland | Registered Nurse | 1230 W, La. Ave, Many, LA 71449 | 2012-06-21 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on MRS. MARY ANN EVANS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.