DALLAS LAMAR EVANS (NPI# 1083981260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083981260 |
Entity Type | Individual |
Full Name | DALLAS LAMAR EVANS |
Credential | ARNP |
Practice Address |
6550 N Wickham Rd Suite 2 Melbourne FL 32940-2038 |
Mailing Address |
6742 Rhode Island Drive West Jacksonville FL 32209-1436 |
Practice Telephone | 3217519506 |
Practice Fax Number | 3217519505 |
Mailing Telephone | 9043800346 |
Mailing Fax Number | 9047681226 |
Enumeration Date | 2011-11-16 |
Last Update Date | 2011-11-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9175957 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6550 N WICKHAM RD SUITE 2 |
City | MELBOURNE |
State | FL |
Zip Code | 32940-2038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104804954 | Guy Yves Pelchat | Chiropractor | 6550 N Wickham Rd, Suite 6, Melbourne, FL 32940-2038 | 2006-01-03 |
1427591809 | Demytra Wolf | Physician Assistant | 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038 | 2016-12-02 |
1265613558 | Michelle Renee Wheat | Massage Therapist | 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038 | 2007-11-15 |
1801003058 | Cynthia Lee Titus | Nurse Practitioner | 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038 | 2007-05-17 |
1083622245 | Medical Associates of Brevard LLC | Clinic/Center | 6550 N Wickham Rd, #2, Melbourne, FL 32940-2038 | 2006-08-04 |
1770531774 | John David Mackenney | Podiatrist | 6550 N Wickham Rd, Suite 4, Melbourne, FL 32940-2038 | 2006-05-04 |
1548249535 | Shakti Datt Bakshi | Internal Medicine | 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038 | 2006-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
Find all providers in zip 32940 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316475171 | Jacqueline Hoskins | Nurse Practitioner | 2644 Kingsmill Ave, Melbourne, FL 32934-7583 | 2017-05-24 |
1255773701 | Mobile Physicians Group Inc | Nurse Practitioner | 1010 E New Haven Ave Ste B, Melbourne, FL 32901 | 2013-07-25 |
1598100893 | Serina Wisnewski | Nurse Practitioner | 2955 Pineda Plaza Way, Suite: 115, Melbourne, FL 32940-7318 | 2013-05-01 |
1841521176 | Leonora Lillian Conte | Nurse Practitioner | 325 Tangle Run Blvd Apt 1112, Melbourne, FL 32940-1831 | 2010-01-27 |
1407073943 | Paige Michelle Ahammer | Nurse Practitioner | 221 W Hibiscus Blvd, Suite 401, Melbourne, FL 32901-3044 | 2007-04-19 |
1326033085 | Michelle Wiedenhoeft | Nurse Practitioner | 3661 S Babcock St, 2nd Floor, Melbourne, FL 32901-8205 | 2005-09-19 |
1861491565 | Marva Edwards-marshall | Nurse Practitioner | 720 E New Haven Ave, Melbourne, FL 32901-5474 | 2005-07-15 |
1801891585 | Bruce Robert Simpkins | Nurse Practitioner | 3661 S Babcock St Fl 2, Melbourne, FL 32901-8205 | 2005-06-17 |
1053922476 | Cory Louis Nayfield | Nurse Practitioner | 2200 W Eau Gallie Blvd Ste 200, Melbourne, FL 32935-3166 | 2020-08-10 |
1457830556 | Heidi Jo Sommers | Nurse Practitioner | 1131 W New Haven Ave, Melbourne, FL 32904-4110 | 2018-08-09 |
Find all providers in MELBOURNE |
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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.