KELLY EVANS (NPI# 1407211352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407211352 |
| Entity Type | Individual |
| Full Name | KELLY EVANS |
| Practice Address |
13947 Castille St Victorville CA 92392-5508 |
| Practice Telephone | 7602614242 |
| Practice Fax Number | 7602614338 |
| Mailing Telephone | 7602614242 |
| Mailing Fax Number | 7602614338 |
| Enumeration Date | 2015-12-19 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 366426751 | CA | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396178174 | Kelly Evans | Counselor | 8 Reservoir Circle, Suite 103, Families Connected, LLC, Baltimore, MD 21208 | 2013-08-15 |
| 1093027906 | Kelly Anne Evans | Marriage & Family Therapist | 408 Saint Peter St Ste 429, Saint Paul, MN 55102-1119 | 2010-07-08 |
| 1235289976 | Kelly Carter Evans | Counselor | 27888 Meadow Dr, Suite 106, Evergreen, CO 80439-2102 | 2007-01-12 |
| 1124107693 | Kelly Evans | Internal Medicine | 85 Highway 80, Manchester, KY 40962-8801 | 2006-11-03 |
| 1720165251 | Kelly Charles Evans | Psychologist | 2714 Stewart Ave, Wausau, WI 54401-4153 | 2006-11-01 |
| 1730654104 | Kelly Evans | Speech-Language Pathologist | 13333 Blanco Rd Ste 310, San Antonio, TX 78216-7756 | 2018-10-11 |
| 1508341181 | Kelly Evans | Nurse Practitioner | 6616 Center Grove, Edwardsville, IL 62025 | 2018-09-28 |
| 1699221663 | Kelly Ann Evans | Nurse Anesthetist, Certified Registered | 51 N 39th St, Philadelphia, PA 19104-2640 | 2016-08-30 |
| 1245785534 | Kelly Evans | Counselor | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2016-08-17 |
| 1093024721 | Kelly L Evans | Pharmacist | 1675 Leahy St, Stuite 111, Muskegon, MI 49442-5500 | 2010-09-29 |
| Street Address |
13947 CASTILLE ST |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92392-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972953156 | Evans Elderly Residential Care LLC | Assisted Living Facility | 13947 Castille St, Victorville, CA 92392-5508 | 2016-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
| 1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
| 1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
| 1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
| 1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| Find all providers in zip 92392 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447806187 | Olivia Michelle Sallier | Home Health Aide | 12986 Arvila Dr, Victorville, CA 92392-8331 | 2019-08-16 |
| 1124651500 | Erica Renita O'connor | Home Health Aide | 14344 Cajon Ave Ste 102, Victorville, CA 92392-4301 | 2020-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275786 | Michael R Mantong | Home Health Aide | 16152 Beach Blvd Ste 279, Huntington Beach, CA 92647-3825 | 2020-11-04 |
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1992304406 | Sunshine Solutions Group | Home Health Aide | 5448 Rider Pl, San Diego, CA 92130-3747 | 2020-10-26 |
| 1245844265 | Rosie Hatchkhan | Home Health Aide | 23820 Ironwood Ave Spc 194, Moreno Valley, CA 92557-8137 | 2020-09-08 |
| 1285248260 | Randi Mcwilliams | Home Health Aide | 25835 Narbonne Ave Ste 200c, Lomita, CA 90717-7214 | 2020-09-07 |
| 1912519356 | Patricia Ann Bajorek | Home Health Aide | 338 Northridge Drive B835, Tahoma, CA 96142 | 2020-08-18 |
| 1477164309 | Rosemary K Parmar | Home Health Aide | 6200 Sun River Dr, Sacramento, CA 95824-4411 | 2020-08-13 |
| 1982213385 | Mek Home Health Care, Inc. | Home Health Aide | 8000 Wheatland Ave Ste A, Sun Valley, CA 91352-5316 | 2020-07-31 |
| 1891313284 | Casademckenziehomecareservices | Home Health Aide | 1361 Snyder Ave, Modesto, CA 95356-8901 | 2020-07-11 |
| 1528686284 | Pamela Patterson | Home Health Aide | 31712 Via Ana, San Juan Capistrano, CA 92675-3029 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92392 |
Please comment or provide details below to improve the information on KELLY 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.