JENNY A EVANS (NPI# 1649365610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649365610 |
Entity Type | Individual |
Full Name | JENNY A EVANS |
Other Name | JENNY A MOULTON |
Credential | PA |
Practice Address |
360 Merrimack St Lawrence MA 01843-1740 |
Mailing Address |
500 Merrimack St Lawrence MA 01843-1756 |
Practice Telephone | 9785578800 |
Practice Fax Number | 9785578633 |
Mailing Telephone | (978) 557-8900 |
Mailing Fax Number | 9785578633 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2017-09-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 1857 | MA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 30334648 | 05 | |
ME | 432389499 | 05 | |
NH | RAILROAD MEDICARE | P00791691 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043556947 | Jenny Evans | Psychologist | 3030 Childrens Way Ste 300, San Diego, CA 92123-4228 | 2012-12-20 |
1568516664 | Jenny Rose Evans | Counselor | 1999 Prince Ave, Athens, GA 30606-6013 | 2007-01-23 |
1669985487 | Jenny Nguyen Evans | Pharmacist | 1245 W Main St, Mesa, AZ 85201-7018 | 2017-11-15 |
Street Address |
360 MERRIMACK ST |
City | LAWRENCE |
State | MA |
Zip Code | 01843-1740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609877117 | Home Health Vna Inc | Home Health | 360 Merrimack St, Building 9, Lawrence, MA 01843-1740 | 2005-08-09 |
1912504630 | Nathanais Madera | Counselor | 360 Merrimack St, Lawrence, MA 01843-1740 | 2020-10-06 |
1023624335 | Scarlet Placeres | Nurse's Aide | 360 Merrimack St, Lawrence, MA 01843-1740 | 2020-09-22 |
1720699275 | Kelsy Duran | Counselor | 360 Merrimack St, Building 9 3rd Floor, Lawrence, MA 01843 | 2020-08-10 |
1992315147 | Mackenzie Luna Baxley | Social Worker | 360 Merrimack St, Bldg 9, Ent. H, Lawrence, MA 01843 | 2020-08-03 |
1598399669 | Franchesly D Gonzalez | Counselor | 360 Merrimack St, Lawrence, MA 01843-1740 | 2020-02-27 |
1235772724 | Kathryn M Soucy | Nurse Practitioner | 360 Merrimack St, Lawrence, MA 01843-1740 | 2019-10-28 |
1528601408 | Juana Cruz | Counselor | 360 Merrimack St, Lawrence, MA 01843-1740 | 2019-10-23 |
1720621873 | Victoria Baxter | Nurse Practitioner | 360 Merrimack St, Lawrence, MA 01843-1740 | 2019-10-22 |
1023666039 | Jennifer Santos | Counselor | 360 Merrimack St, Lawrence, MA 01843-1740 | 2019-09-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205466703 | Jean A Schrow | Student in an Organized Health Care Education/Training Program | 350 Merrimack Street Bldg 5, Lawrence, MA 01843 | 2020-01-23 |
1053959049 | Carolyn O'connor | Occupational Therapist | 439 S. Union St, Bldg. 1, Ste. 110, Lawrence, MA 01843 | 2019-12-20 |
1578120754 | My Dental Lawrence Pllc | Clinic/Center | My Dental Lawrence Pllc, 465 South Broadway, Lawrence, MA 01843 | 2019-05-23 |
1336600071 | Michelle Ann Guillette | Counselor | 360 Merrimack St Bldg. 9, Entrance H, Lawrence, MA 01843 | 2019-03-26 |
1629540158 | Kathleen D Coale | Physical Therapist | Heritage Place, Building 1, Suite 101, 439 South Union Street, Lawrence, MA 01843 | 2018-12-21 |
1306334933 | Jannice Mari Adorno | Community/Behavioral Health | 34 Farnham Street, Lawrence, MA 01843 | 2018-04-30 |
1710489935 | Maureen Lyn Deangelis | Social Worker | Robert Frost Elementary School, 33 Hamlet Street, Lawrence, MA 01843 | 2018-03-03 |
1215448733 | Henry Joseph De Lima | Social Worker | 360 Merrimack Street, Bldg 9, 3rd Floor, Lawernce, MA 01843 | 2017-10-24 |
1710404090 | Awilda M Pimentel | Counselor | 111 River Pointe Way, Lawrence, MA 01843 | 2017-08-28 |
1215454772 | Yu Yu Chen | Counselor | 439 S.union St, Suite 116, Lawrence, MA 01843 | 2017-08-25 |
Find all providers in zip 01843 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154943058 | Tova Batsheva Perlysky | Physician Assistant | 2 Lakeside Dr W, Lawrence, NY 11559-1703 | 2020-05-13 |
1750924445 | Aviva Kopolovitz | Physician Assistant | 317 Mulry Ln, Lawrence, NY 11559-1609 | 2019-10-24 |
1326602962 | Shana Hoch | Physician Assistant | 121 Lawrence Ave, Lawrence, NY 11559-1440 | 2019-04-29 |
1801396262 | Nicholas A Vitale | Physician Assistant | 14 Thomas Rd, Lawrence, MA 01843-3227 | 2018-02-12 |
1386048841 | Diana Popper | Physician Assistant | 119 Fulton St, Lawrence, NY 11559-1426 | 2014-10-13 |
1396973855 | Shane Jay Alford | Physician Assistant | 332 Woodlawn Ct, Lawrence, KS 66049-1855 | 2009-06-23 |
1235347899 | Karine Ngoya Ngoie | Physician Assistant | 354 Merrimack St 1, Lawrence, MA 01843-1755 | 2007-05-18 |
1750302832 | Eastern Kansas Health Care System | Physician Assistant | 112 Tumbleweed Dr, Lawrence, KS 66049-4151 | 2006-07-22 |
1295375202 | Aliza Eisig | Physician Assistant | 43 Herrick Dr, Lawrence, NY 11559-1527 | 2020-01-08 |
1184273286 | Madison Ashlee Scott | Physician Assistant | 4930 Overland Dr, Lawrence, KS 66049-4132 | 2019-09-11 |
Find all providers in LAWRENCE |
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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.