CARLY RENE EVANS (NPI# 1164803227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164803227 |
| Entity Type | Individual |
| Full Name | CARLY RENE EVANS |
| Credential | ARNP |
| Practice Address |
5467 Ronald Reagan Blvd Sanford FL 32773-6332 |
| Mailing Address |
3042 Plaza Terrace Dr Orlando FL 32803-2810 |
| Practice Telephone | 4073243036 |
| Mailing Telephone | 4076193262 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9238240 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942706296 | Carly Elizabeth Evans | Case Manager/Care Coordinator | 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 | 2018-04-04 |
| 1629588983 | Carly Evans | Physical Therapy Assistant | 8353 Highway 100, Nashville, TN 37221-4190 | 2017-10-01 |
| 1003183310 | Carly Evans | Speech-Language Pathologist | 4741 Trousdale Dr, Suite 1, Nashville, TN 37220-1332 | 2011-11-30 |
| 1548237720 | Carly Michelle Evans | Emergency Medicine | 4050 Coon Rapids Blvd, Mercy Medical Center, Coon Rapids, MN 55433 | 2006-03-07 |
| Street Address |
5467 RONALD REAGAN BLVD |
| City | SANFORD |
| State | FL |
| Zip Code | 32773-6332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033217823 | Linda Jan Carlson | Nurse Practitioner | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2006-09-20 |
| 1710414511 | Kids House of Seminole | Community/Behavioral Health | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2017-05-11 |
| 1164884888 | Diane Kimball | Counselor | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2016-03-22 |
| 1275992778 | Ashleah Zigmond | Counselor | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2016-02-12 |
| 1063817302 | Arden Monroe-obermeit | Nurse Practitioner | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2014-10-29 |
| 1609022342 | Marisol Herrera Tobey | Counselor | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2008-08-13 |
| 1942492657 | Nicole Rose Tenore | Social Worker | 5467 Ronald Reagan Blvd, Sanford, FL 32773-6332 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962355 | United Angels Home Care Inc | In Home Supportive Care | 601 Lake Minnie Dr, # 4058, Sanford, FL 32773 | 2019-09-30 |
| 1093276537 | Hill Derm Pharmacy, Inc | Pharmacy | 3065 S. Mellonville Ave Ste B, Sanford, FL 32773 | 2019-03-27 |
| 1114446507 | Roberto Carlos Moran | Psychologist | 228 Clydesdale Circle, Sanford, FL 32773 | 2017-09-17 |
| 1316465305 | Thalia Garcia-lakongpheng | Student in an Organized Health Care Education/Training Program | 12208 Stonebrook Dr, Sanford, FL 32773 | 2017-08-30 |
| 1891211470 | Eric Manuel Castrodad Santini | Chiropractor | 820 W Lake Mary Blvd Ste 107, Sanford, FL 32773 | 2017-08-16 |
| 1306375886 | A New Beginning Family Services | Case Management | 148 Magnolia Park Trl, Sanford, FL 32773 | 2017-06-08 |
| 1427592146 | Alice Johanie Matias | Behavioral Analyst | 15208 Stonebrook Dr, Sanford, FL 32773 | 2016-12-14 |
| 1528514270 | Edward Dimauro II | Social Worker | 117 E Lake Mary Blvd, Sanford, FL 32773 | 2016-08-31 |
| 1174079420 | Beverly Glaspell | Physical Therapy Assistant | 257 Clydesdale Circle, Sanford, FL 32773 | 2016-08-28 |
| 1447607064 | Seminole Addiction Treatment Services & Counseling | Counselor | 2640 Hiawatha Avenue, Suite E, Sanford, FL 32773 | 2016-05-24 |
| Find all providers in zip 32773 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404437 | Travita M Ramdin | Nurse Practitioner | 4800 Solara Cir Apt 4061, Sanford, FL 32771-0032 | 2020-10-16 |
| 1073135091 | Emma Markey Oteri | Nurse Practitioner | 5305 Bristol Cone Way, Sanford, FL 32771-8083 | 2020-05-13 |
| 1962046672 | Kamaljit Kaur | Nurse Practitioner | 129 Bella Rosa Cir, Sanford, FL 32771-5238 | 2019-11-05 |
| 1821657966 | Genevieve Gabriele D'amato | Nurse Practitioner | 522 Lake Eagle Ln, Sanford, FL 32773-4345 | 2019-06-12 |
| 1871053280 | Gregory Scott | Nurse Practitioner | 2017 Elizabeth Ct, Sanford, FL 32771-4513 | 2019-03-21 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1821457854 | Mary Theresia Bosman | Nurse Practitioner | 1180 W Nielson Rd, Sanford, MI 48657-9604 | 2016-02-18 |
| 1891041794 | Sandra Benscoter Reddecliff | Nurse Practitioner | 488 Still Forest Ter, Sanford, FL 32771-8382 | 2012-07-28 |
| 1225302326 | Nanette Climans | Nurse Practitioner | 106 Sophia Marie Cv, Sanford, FL 32771-7719 | 2012-03-07 |
| Find all providers in SANFORD | ||||
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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.