TINA G EVANS (NPI# 1649488933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649488933 |
| Entity Type | Individual |
| Full Name | TINA G EVANS |
| Credential | MASSAGE THERAPIST |
| Practice Address |
16 Black Jack Cir Port Orange FL 32128-6771 |
| Practice Telephone | 3867560505 |
| Mailing Telephone | 3867560505 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA34834 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MASSAGE LICENSE | MA34834 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399588 | Tina Marie Evans | Hearing Instrument Specialist | 601 Ellis Ave, Lufkin, TX 75904-3820 | 2019-10-31 |
| 1073096749 | Tina Marie Evans | Pharmacist | 6250 E Grant Road, Ste #388, Tucson, AZ 85747 | 2018-09-10 |
| 1336787589 | Tina C Evans | Behavior Technician | 3341 Youree Dr Ste 205, Shreveport, LA 71105-2149 | 2019-12-18 |
| 1568925790 | Tina Evans | Pharmacist | 1250 E Magnolia St, Fort Collins, CO 80524-2702 | 2019-04-14 |
| 1235639493 | Tina Evans | Counselor | 40 W 4th St, Mansfield, OH 44902-1206 | 2018-02-14 |
| 1548786759 | Tina M Evans | Counselor | 10921 Reed Hartman Hwy Ste 133, Blue Ash, OH 45242 | 2017-08-18 |
| 1881142784 | Tina Evans | Registered Nurse | 275 Cumberland Bnd, Nashville, TN 37228-1805 | 2016-09-20 |
| 1013110402 | Tina Michelle Evans | Physical Therapy Assistant | 535 W Ogden Ave, Naperville, IL 60563-3286 | 2007-06-06 |
| Street Address |
16 BLACK JACK CIR |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32128-6771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209979 | Encore Hearing Consultants, LLC | Hearing Instrument Specialist | 5889 S. Williamson Blvd, Suite 1409, Port Orange, FL 32128 | 2019-08-02 |
| 1346768835 | T'neill Treherne | Occupational Therapist | 5535 S. Williamson Blvd Suite 774, Port Orange, FL 32128 | 2017-09-05 |
| 1881055440 | Jose Ortiz | Chiropractor | 6315 S Williamson Blvd Apt 132, Port Orange, FL 32128 | 2016-03-10 |
| 1376915132 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5445 S. Williamson Blvd, Port Orange, FL 32128 | 2015-10-20 |
| 1508289570 | Jeffrey Barnes | Physical Therapist | 5535 S. Williamson B;vd, Port Orange, FL 32128 | 2014-01-28 |
| 1881025542 | Rachael Hall | Physical Therapist | 55335 S Williamson Blvd, Suite 774, Port Orange, FL 32128 | 2013-12-06 |
| 1154765840 | Daniel Fleishman | Counselor | 6709 Ferri Circle, Port Orange, FL 32128 | 2013-04-24 |
| 1215282629 | Jeffrey Mclaughlin | Physical Therapist | 5535 S. Williamson Blvd., Ste 774, Port Orange, FL 32128 | 2012-07-23 |
| 1710266812 | Steven Gerald Daniels | Chiropractor | 1807 Creekwater Blvd, Port Orange, FL 32128 | 2011-08-08 |
| 1639489883 | Dr. Michael Hay and Associates, LLC | Optometrist | 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 | 2010-10-20 |
| Find all providers in zip 32128 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1124310347 | Donna Yonta | Specialist | 3930 Oriole Ave, Port Orange, FL 32127-6518 | 2011-05-05 |
| 1336446723 | John L Kihm | Specialist | 1824 Summer Green Dr, Port Orange, FL 32128-7157 | 2011-02-21 |
| 1891978185 | Sheree Genevieve Urich | Specialist | 1304 Osprey Nest Ln, Port Orange, FL 32128-7160 | 2007-12-10 |
| 1598968554 | Cindy W Vola | Specialist | 2385 Guava Dr, Port Orange, FL 32128-6505 | 2007-06-07 |
| 1891776399 | Anthony Carmine Picchiello | Specialist | 3951 South Nova Rd, Port Orange, FL 32127 | 2005-11-10 |
| 1528049327 | Ralph Joseph Zwolinski | Specialist | 5111 S Ridgewood Ave, Suite 102, Port Orange, FL 32127-5169 | 2005-11-09 |
| 1861890790 | Amer Khatib | Specialist | 1690 Dunlawton Ave, Suite 120, Port Orange, FL 32127-8979 | 2014-12-09 |
| 1376816876 | Advanced Endoscopy Centers LLC | Specialist | 1690 Dunlawton Ave, Suite 220, Port Orange, FL 32127-8979 | 2012-02-14 |
| 1578836003 | C. Lawrence Slade, M.d., F.a.c.s., LLC | Specialist | 3635 S Clyde Morris Blvd, Suite 400, Port Orange, FL 32129-2300 | 2012-02-14 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32128 |
Please comment or provide details below to improve the information on TINA G 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.