DR. STEPHANIE LEE EVANGELISTI (NPI# 1164918488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164918488 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE LEE EVANGELISTI |
| Other Name | STEPHANIE LEE SOUTHARD |
| Credential | PHARMD, MS |
| Practice Address |
2596 F Rd Grand Junction CO 81505-1443 |
| Practice Telephone | 9706443227 |
| Practice Fax Number | 9706443963 |
| Mailing Telephone | 9706443227 |
| Mailing Fax Number | 9706443963 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0202214193 | VA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PHA.0021144 | CO | Pharmacy Service Providers |
| Street Address |
2596 F RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81505-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033117643 | Gayle Patrice Miller | Radiology | 2596 F Rd, Grand Junction, CO 81505-1443 | 2005-07-08 |
| 1861039604 | Colorado West Healthcaresystem, Inc | Family Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2019-11-27 |
| 1487130670 | Courtney Fulton | Surgery | 2596 F Rd, Grand Junction, CO 81505-1443 | 2018-07-11 |
| 1811398324 | Colorado West Healthcare System | Internal Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2014-09-16 |
| 1447690938 | Kristina Goutsouliak | Internal Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2013-06-27 |
| 1225355670 | Jack Ryan Bagley | Radiology | 2596 F Rd, Grand Junction, CO 81505-1443 | 2010-04-26 |
| 1356506265 | Jonathan D King | Internal Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2008-07-21 |
| 1841454048 | Sudy Elizabeth Jahangiri | Internal Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2008-07-16 |
| 1538209606 | Heather Ashley Steele | Internal Medicine | 2596 F Rd, Grand Junction, CO 81505-1443 | 2007-02-07 |
| 1457457020 | Ruth Higdon | Obstetrics & Gynecology | 2596 F Rd, Grand Junction, CO 81505-1443 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
| 1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
| Find all providers in zip 81505 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253902 | Brooke Anne Melkus | Pharmacist | 261 Durant St, Grand Junction, CO 81503-3411 | 2020-10-26 |
| 1710598529 | Sarah Jean Seavey | Pharmacist | 2992 Patterson Rd, Grand Junction, CO 81504-3105 | 2020-08-14 |
| 1831739432 | Alexander Ignacio Sisneros | Pharmacist | 3169 Dazie Jo St, Grand Junction, CO 81504-6273 | 2020-01-10 |
| 1346886082 | Rebecca Danielle Miller | Pharmacist | 2901 Patterson Rd, Grand Junction, CO 81504-3001 | 2019-11-18 |
| 1033770011 | Sean Eubanks | Pharmacist | 515 28 3/4 Rd Bldg A, Grand Junction, CO 81501-5016 | 2019-06-21 |
| 1548786007 | Jessica Nichole Baker | Pharmacist | 2293 S Arriba Cir, Grand Junction, CO 81507-1363 | 2017-08-16 |
| 1922545524 | Mark Thomas Vejraska | Pharmacist | 774 24 1/2 Rd, Grand Junction, CO 81505-9628 | 2017-01-21 |
| 1447605654 | Stephen Guess | Pharmacist | 654 Market St, Grand Junction, CO 81505-4300 | 2016-04-26 |
| 1124497672 | Samantha Jean Rush | Pharmacist | 2770 Us Highway 50, Grand Junction, CO 81503-2294 | 2015-09-15 |
| 1881061729 | Tanya Rhodes | Pharmacist | 380 Kathleen Cir, Grand Junction, CO 81501-7319 | 2015-08-26 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
Please comment or provide details below to improve the information on DR. STEPHANIE LEE EVANGELISTI.
| 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.