TIA EVENSON (NPI# 1972100766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972100766 |
| Entity Type | Individual |
| Full Name | TIA EVENSON |
| Credential | APRN |
| Practice Address |
1708 Cape Coral Pkwy W Ste 2 Cape Coral FL 33914-6985 |
| Mailing Address |
2675 Winkler Ave Fl 2 Fort Myers FL 33901-9342 |
| Practice Telephone | 2393333333 |
| Practice Fax Number | 2393333332 |
| Mailing Telephone | 8778563774 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11008363 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1708 CAPE CORAL PKWY W STE 2 |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33914-6985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019388 | Total Renal Care Inc | Clinic/Center | 4539 Chiquita Blvd S, Cape Coral, FL 33914 | 2019-02-15 |
| 1316310303 | Alejandra Romero | Dentist | 1715 Cape Coral Parkway West.suite #13, Cape Coral, FL 33914 | 2015-11-12 |
| 1366826141 | Hannah M Dowling | Nurse Practitioner | 2441 Surfside Blvd., Cape Coral, FL 33914 | 2015-07-12 |
| 1003181389 | Yosmel O Carrasco | Massage Therapist | 3910 Santa Barbara Blvd 103, Cape Coral, FL 33914 | 2012-03-20 |
| 1326330507 | Taylor's Exceptional Nurse Practitioner Service, LLC | Nurse Practitioner | 841 Sw 47th Ter #106, Cape Coral, FL 33914 | 2011-05-06 |
| 1407010226 | Carmelita Buenviaje Almazan | Case Manager/Care Coordinator | 4334 Sw 9th Avenue, Cape Coral, FL 33914 | 2008-07-10 |
| 1447471503 | Daysi Perez | Massage Therapist | 4624 Sw 14 Ave, Cape Coral, FL 33914 | 2007-05-02 |
| 1801973466 | Russell Meredith Fidler | Dentist | 1616 W Cape Coral Parkway Unit #115, Cape Coral, FL 33914 | 2006-11-01 |
| 1134226814 | Elizabeth Elia | Dentist | 415 Cape Coral Parkway #w1, Cape Coral, FL 33914 | 2006-09-17 |
| 1225140718 | Dental Associates of Cape Coral, Pa | Dentist | 1715 Cape Coral Parkway West, Suite 11, Cape Coral, FL 33914 | 2006-08-31 |
| Find all providers in zip 33914 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395752 | Daynet Vera Ayala | Nurse Practitioner | 38 Ne 29th St, Cape Coral, FL 33909-8856 | 2020-10-29 |
| 1730796947 | Michelle Rentas | Nurse Practitioner | 715 Sw 11th Ct, Cape Coral, FL 33991-2148 | 2020-09-30 |
| 1053928804 | Brett M Wilson | Nurse Practitioner | 2030 Nw 5th Ter, Cape Coral, FL 33993-7536 | 2020-09-25 |
| 1023621091 | Haney Sosa | Nurse Practitioner | 1720 Nw 20th St, Cape Coral, FL 33993-4994 | 2020-08-28 |
| 1083226724 | Joaccy Lazo Reyes | Nurse Practitioner | 2211 Se 15th Ave, Cape Coral, FL 33990-4659 | 2020-08-22 |
| 1538770235 | Bethany Lynn Loppnow | Nurse Practitioner | 5113 Chiquita Blvd S, Cape Coral, FL 33914-6988 | 2020-08-14 |
| 1619587003 | Pamela Fay | Nurse Practitioner | 2458 Blackburn Cir, Cape Coral, FL 33991-3140 | 2020-07-31 |
| 1396362679 | Alain Ramirez Gonzalez | Nurse Practitioner | 211 Nw 4th Pl, Cape Coral, FL 33993-2456 | 2020-07-02 |
| 1356977391 | Osmani Rico Valdes | Nurse Practitioner | 1419 Sw 48th Ter Apt 102, Cape Coral, FL 33914-6975 | 2020-03-22 |
| 1649806423 | Zenia Garcia Padron | Nurse Practitioner | 4628 Sw 15th Pl, Cape Coral, FL 33914-6313 | 2020-03-12 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33914 |
Please comment or provide details below to improve the information on TIA EVENSON.
| 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.