JENNIFER VIRGINIA EVANS (NPI# 1790335008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790335008 |
| Entity Type | Individual |
| Full Name | JENNIFER VIRGINIA EVANS |
| Practice Address |
333 Salem Pl Ste 165 Fairview Heights IL 62208-1341 |
| Mailing Address |
4733 Mccorry Dr Saint Louis MO 63123-7317 |
| Practice Telephone | 0950844329 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 2019026967 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 209019957 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851837751 | Jennifer Evans | Case Manager/Care Coordinator | 141 Southwood Dr, Gretna, LA 70056 | 2017-01-16 |
| 1578993820 | Jennifer Marlena Evans | Chiropractor | 420 Pilchard Ct, Florence, SC 29505-5266 | 2013-11-24 |
| 1497096457 | Jennifer Marie Evans | Pharmacist | 570 E Moqui Ln, Escalante, UT 84726-7753 | 2013-03-14 |
| 1295035905 | Jennifer Anne Evans | Counselor | 1108 N Hollywood Way, Burbank, CA 91505-2527 | 2010-10-27 |
| 1659690154 | Jennifer Johnston Evans | Counselor | 313 E Main St, 5, Hendersonville, TN 37075-3898 | 2010-05-24 |
| 1689993164 | Jennifer Lynn Evans | Psychologist | 2451 Executive Dr, Suite 103, Saint Charles, MO 63303-5606 | 2010-05-24 |
| 1366767071 | Jennifer Evans | Spec/Tech, Cardiovascular | 275 Clinton Dr, Stonewall, LA 71078-5405 | 2010-04-06 |
| 1457688475 | Jennifer Diane Evans | Licensed Practical Nurse | 2377 27th St, Cuyahoga Falls, OH 44223-1115 | 2009-11-12 |
| 1063669885 | Jennifer R Evans | Community Health Worker | 271 South Main Street, Cheshire, CT 06410 | 2008-08-22 |
| 1285802298 | Jennifer Evans | Acupuncturist | 1776 Massachusetts Ave Ste 2b, Cambridge, MA 02140-2852 | 2008-02-12 |
| Street Address |
333 SALEM PL STE 165 |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip Code | 62208-1341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829647 | Stephanie Lynn Arzavala-reed | Counselor | 8.5 Canty Lane, Fairview Heights, IL 62208 | 2019-12-26 |
| 1649822156 | Preferred Behavioral Health | Community/Behavioral Health | 141 Market Place Drive, Suite 100, Fairview Heights, IL 62208 | 2019-07-15 |
| 1164929055 | Itic Support Services Inc | Psychiatry & Neurology | 141 Market Pl Ste 100, Fairview Heights, IL 62208 | 2018-04-09 |
| 1023525102 | Karen E. Reinacher | Speech-Language Pathologist | 21 Circle Dr., Fairview Heights, IL 62208 | 2018-01-10 |
| 1316465297 | Rachel Moser | Behavioral Analyst | 9510 St. Clair Ave, Fairview Heights, IL 62208 | 2017-08-31 |
| 1952826471 | Tomika Eiland | Social Worker | 413 David Dr, Fairview Heights, IL 62208 | 2017-08-05 |
| 1194113852 | Rachel Logan | Social Worker | 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 | 2015-01-05 |
| 1255746715 | Center for Advanced Medicine LLC | Internal Medicine | 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208 | 2014-06-24 |
| 1033463393 | Katherine Johnson I | Physical Therapy Assistant | 320 N Ruby Ln, Fairview Heights, IL 62208 | 2012-11-07 |
| 1508118779 | Nicole Kovacic | Physical Therapy Assistant | 5501 Perrin Drive, Fairview Heights, IL 62208 | 2012-10-11 |
| Find all providers in zip 62208 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134158728 | Mary Margaret Madras | Nurse Practitioner | 6505 N Illinois St, Fairview Heights, IL 62208-2001 | 2006-07-03 |
| 1134190432 | Jessica Morgan | Nurse Practitioner | 317 Salem Pl Ste 140, Fairview Heights, IL 62208-1347 | 2006-01-27 |
| 1114492691 | Stephanie Nicole Swanson | Nurse Practitioner | 5023 N Illinois St, Fairview Heights, IL 62208-3453 | 2018-10-10 |
| 1821512385 | Stephanie Lynn Stumpf | Nurse Practitioner | 6505 N Illinois St, Fairview Heights, IL 62208-2001 | 2017-07-26 |
| 1710347893 | Rachael Whitney Villarreal | Nurse Practitioner | 6505 N Illinois St, Fairview Heights, IL 62208 | 2016-03-02 |
| 1134527831 | Laura Christine O'leary | Nurse Practitioner | 6505 N Illinois St, Fairview Heights, IL 62208-2001 | 2014-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
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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.