SANDRA J EVANS (NPI# 1780605188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780605188 |
| Entity Type | Individual |
| Full Name | SANDRA J EVANS |
| Credential | CRNA APN |
| Practice Address |
117 Timberline Trl Alto Pass IL 62905-2024 |
| Practice Telephone | 6188932275 |
| Practice Fax Number | 6188932275 |
| Mailing Telephone | 6188932275 |
| Mailing Fax Number | 6188932275 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199804 | Sandra Jean Evans | Specialist/Technologist | 405 Farintosh Valley Ln, Durham, NC 27703-8116 | 2020-09-23 |
| 1154685188 | Sandra Ann Evans | Nurse Practitioner | 38578 Rougewood Dr, Sterling Heights, MI 48312-1308 | 2012-06-25 |
| 1396891669 | Sandra Kay Evans | Adult Companion | 5417 Ne 25th Ave, Portland, OR 97211-6211 | 2007-01-26 |
| 1174587497 | Sandra Lee Evans | Licensed Practical Nurse | 190 Saybrooke, Canfield, OH 44406 | 2006-04-13 |
| 1154984375 | Sandra Evans | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-04-15 |
| 1740736362 | Sandra Evans | Registered Nurse | 138 Miller Lane, Bedford, KY 40006 | 2016-09-01 |
| 1811376999 | Sandra Evans | Counselor | 2772 Martin Luther King Jr. Blvd, Fresno, CA 93706 | 2015-05-22 |
| 1477892958 | Sandra Kay Evans | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2013-02-04 |
| 1689939233 | Sandra Evans | Home Health Aide | 7506 Georgia Ave Nw, Washington, DC 20012-1608 | 2012-07-10 |
| 1114216835 | Sandra L. Evans | Rehabilitation Counselor | 712 Bultman Dr, Suite D-1, Sumter, SC 29150-2553 | 2011-04-04 |
| Street Address |
117 TIMBERLINE TRL |
| City | ALTO PASS |
| State | IL |
| Zip Code | 62905-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184135063 | Christine Ann Evans | Early Intervention Provider Agency | 200 Walnut St, Alto Pass, IL 62905 | 2017-10-18 |
| 1669595146 | Julie Draper | Speech-Language Pathologist | 610 Lake Dr, Alto Pass, IL 62905-1015 | 2007-04-09 |
| 1326664038 | Katrina Parks Renzaglia | Behavioral Analyst | 87 Harris Ln, Alto Pass, IL 62905-1023 | 2020-06-18 |
| 1437606415 | Southern Illinois Mobility, LLC | Durable Medical Equipment & Medical Supplies | 1020 Lyerla Ln, Alto Pass, IL 62905-3015 | 2016-09-07 |
| 1467808584 | Tashia I Fox | Registered Nurse | 1545 Milligan Hill Rd, Alto Pass, IL 62905-3072 | 2016-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326664038 | Katrina Parks Renzaglia | Behavioral Analyst | 87 Harris Ln, Alto Pass, IL 62905-1023 | 2020-06-18 |
| 1437606415 | Southern Illinois Mobility, LLC | Durable Medical Equipment & Medical Supplies | 1020 Lyerla Ln, Alto Pass, IL 62905-3015 | 2016-09-07 |
| 1467808584 | Tashia I Fox | Registered Nurse | 1545 Milligan Hill Rd, Alto Pass, IL 62905-3072 | 2016-05-07 |
| 1669595146 | Julie Draper | Speech-Language Pathologist | 610 Lake Dr, Alto Pass, IL 62905-1015 | 2007-04-09 |
| 1184135063 | Christine Ann Evans | Early Intervention Provider Agency | 200 Walnut St, Alto Pass, IL 62905 | 2017-10-18 |
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797525 | Crna Stat Inc | Nurse Anesthetist, Certified Registered | 4534 S Lake Park Ave, Chicago, IL 60653-4510 | 2020-07-08 |
| 1285258855 | Doug Brickey | Nurse Anesthetist, Certified Registered | 913 N Main St Apt 502, Rockford, IL 61103-7058 | 2020-05-30 |
| 1508480153 | Scott Allsup | Nurse Anesthetist, Certified Registered | 1337 W Early Ave Apt 1, Chicago, IL 60660-5465 | 2020-05-29 |
| 1265051817 | Apollo Anesthesia and Pain Management, Pllc | Nurse Anesthetist, Certified Registered | 520 Valley View Dr Ste 300, Moline, IL 61265-6152 | 2020-04-14 |
| 1194352286 | Decelle Jewel Manuel Enriquez | Nurse Anesthetist, Certified Registered | 251 E Huron St Ste F5-704, Chicago, IL 60611-2908 | 2020-03-26 |
| 1538795398 | Marcin Cebula | Nurse Anesthetist, Certified Registered | 7519 Long Ave, Burbank, IL 60459-1362 | 2020-03-12 |
| 1376105684 | Tel Anesthesia, Ltd | Nurse Anesthetist, Certified Registered | 7 Flint Ct, Bloomington, IL 61705-8830 | 2019-07-08 |
| 1013474071 | Vitalz Anesthesia Unlimited LLC | Nurse Anesthetist, Certified Registered | 6708 N Knoxville Ave Ste 1, Peoria, IL 61614-2863 | 2019-02-26 |
| 1689130247 | Sheri Rylko | Nurse Anesthetist, Certified Registered | 1653 W. Congress Pkwy. Jelke 7, Chicago, IL 60612 | 2019-02-19 |
| 1760968101 | Daniel Bermea | Nurse Anesthetist, Certified Registered | 6811 Brementowne Dr, Tinley Park, IL 60477-1605 | 2018-07-18 |
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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.