TIFFANY M EVANS (NPI# 1689047110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689047110 |
| Entity Type | Individual |
| Full Name | TIFFANY M EVANS |
| Credential | BSW |
| Practice Address |
3002 Grand Ave Waukegan IL 60085-2321 |
| Mailing Address |
4214 53rd St Kenosha WI 53144-3909 |
| Practice Telephone | 8473778200 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477909679 | Tiffany Kay Evans | Specialist/Technologist | 700 N Progress Ave, Siloam Springs, AR 72761-4349 | 2016-05-06 |
| 1679978548 | Tiffany Evans | Registered Nurse | 1503 Woodlands Dr Se, Smyrna, GA 30080-2455 | 2014-11-04 |
| 1699976316 | Tiffany Ann Evans | Counselor | 40 Last Chance Gulch, Helena, MT 59601 | 2007-05-30 |
| 1063969541 | Tiffany N Evans | Speech-Language Pathologist | 1313 Dunbar Ave, Dunbar, WV 25064-2920 | 2016-09-01 |
| 1730409228 | Tiffany J Evans | Counselor | 2602 West Blvd, Suite C, Belleville, IL 62221-5605 | 2010-06-07 |
| Street Address |
3002 GRAND AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60085-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811109184 | County of Lake | Clinic/Center | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2007-05-07 |
| 1225663230 | Daisy Stephanie Zuluaga | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2020-03-10 |
| 1548807373 | Thomas Lamar Wise-bey | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-27 |
| 1669017711 | Matthew David Pikus | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-11-13 |
| 1639720899 | Michelle Marie Grace | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-09-27 |
| 1790346989 | Karina Ortiz | Registered Nurse | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-06-27 |
| 1184287666 | Audrey Ringer | Registered Nurse | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-19 |
| 1275007569 | Kelli A Ciolek | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-01-20 |
| 1700356185 | Gloria Lara | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2018-11-28 |
| 1801370457 | Hernan D Canales | Registered Nurse | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
| 1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
| 1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
| 1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
| 1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
| Find all providers in zip 60085 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
| 1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
| 1295154813 | Catholic Charities of The Archdiocese of Chicago | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2014-04-10 |
| 1174802342 | Nashonna Turner | Counselor | 726 W Grove Ave # 2nd, Waukegan, IL 60085-1849 | 2011-08-05 |
| 1154987733 | Sharon D Jones | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-05-19 |
| 1548823396 | Katherine Lorelen Nauert-dineen | Counselor | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-17 |
| 1225591977 | Kari Marie Green | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-10 |
| 1801358346 | Elizabeth Cole | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2019-04-03 |
| 1275007569 | Kelli A Ciolek | Counselor | 3002 Grand Ave, Waukegan, IL 60085-2321 | 2019-01-20 |
| 1952802464 | Michael A Dickey | Counselor | 3004 Grand Ave, Waukegan, IL 60085-2321 | 2018-02-21 |
| Find all providers in WAUKEGAN | ||||
Please comment or provide details below to improve the information on TIFFANY M 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.