CURTIS EVANS (NPI# 1912426594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912426594 |
Entity Type | Individual |
Full Name | CURTIS EVANS |
Credential | CASAC-G/CPP-G |
Practice Address |
17520 Hillside Ave Ste 2 Jamaica NY 11432-5732 |
Mailing Address |
704 N Broadway Yonkers NY 10701-1712 |
Practice Telephone | 3472102943 |
Practice Fax Number | 7185587230 |
Mailing Telephone | 3472102943 |
Mailing Fax Number | 7186585913 |
Enumeration Date | 2017-09-14 |
Last Update Date | 2017-09-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10181 | NY | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 405300000X | Prevention Professional | 706 | NY | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285004366 | Curtis Evans | Nurse Practitioner | 703 W Bluff St, Woodville, TX 75979 | 2015-10-01 |
1013498666 | Curtis Evans | Physical Therapy Assistant | 2700 S Henderson Blvd, Kilgore, TX 75662-4033 | 2018-08-22 |
1538185483 | Curtis R Evans | Internal Medicine | 6100 Harris Parkway, Suite 355, Fort Worth, TX 76132-4134 | 2006-07-14 |
Street Address |
17520 HILLSIDE AVE STE 2 |
City | JAMAICA |
State | NY |
Zip Code | 11432-5732 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
Find all providers in zip 11432 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598329732 | Debra Lynn West | Counselor | 16318 Jamaica Ave Ste 5, Jamaica, NY 11432-4901 | 2019-04-23 |
1265096408 | Tiffany Monique Hines | Counselor | 16318 Jamaica Ave Ste 501, Jamaica, NY 11432-4919 | 2019-04-23 |
1609368158 | Angela I Frazier | Counselor | 168-20 Liberty Avenue #2, Jamaica, NY 11433 | 2018-05-31 |
1851811509 | Donna Pickersgill-brown | Counselor | 17020 130th Ave Apt 6a, Jamaica, NY 11434-3226 | 2017-06-23 |
1003336074 | Marie Elizabeth Manley | Counselor | 16204 Tuskegee Airmen Way, Jamaica, NY 11433-1608 | 2017-06-21 |
1689123796 | Colin Kowlessar | Counselor | 17732 129th Ave, Jamaica, NY 11434-5822 | 2016-09-30 |
1356714141 | Mervin Rhymes | Counselor | 11630 Sutphin Blvd., Jamaica, NY 11434 | 2015-11-03 |
1720332067 | Shola Thompson | Counselor | 10704 Guy R Brewer Blvd, Suite 7c, Jamaica, NY 11433-2380 | 2012-11-08 |
1780937821 | Keith Michael Johnson | Counselor | 16812 127th Ave, Apt # 7e, Jamaica, NY 11434-3152 | 2012-10-25 |
1891094405 | Lisa Miller Bethea | Counselor | 17505 Wexford Ter, 1b, Jamaica, NY 11432 | 2011-03-22 |
Find all providers in JAMAICA |
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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.