LAUREN EVANCZYK (NPI# 1093181422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093181422 |
| Entity Type | Individual |
| Full Name | LAUREN EVANCZYK |
| Credential | APRN |
| Practice Address |
720 2nd Ave Ste 102 Bowling Green KY 42101-1778 |
| Mailing Address |
Po Box 776879 Chicago IL 60677-6879 |
| Practice Telephone | 5025883650 |
| Practice Fax Number | 5025887852 |
| Mailing Telephone | 5022725817 |
| Mailing Fax Number | 5022725339 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2020-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71006895A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3009656 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 S Floyd St, Suite 500, Louisville, KY 402021835 | 5025883650 |
| Street Address |
720 2ND AVE STE 102 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609841527 | Paula A Johnson | Nurse Practitioner | 720 2nd Ave Ste 102, Bowling Green, KY 42101-1778 | 2006-02-22 |
| 1164891685 | Allison Spine | Nurse Practitioner | 720 2nd Ave Ste 102, Bowling Green, KY 42101-1778 | 2015-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462211 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 2945 Scottsville Rd Ste E32, Bowling Green, KY 42104-6514 | 2020-09-17 |
| 1447885009 | Kathleen Pitt | Nurse Practitioner | 1982 Cross Willows Ct, Bowling Green, KY 42104-4731 | 2020-03-04 |
| 1225678782 | Michael Curtis | Nurse Practitioner | 661 Us 31w Byp Ste H, Bowling Green, KY 42101-4968 | 2020-01-13 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1932750213 | Carmen Desiree Hughes | Nurse Practitioner | 1325 Andrea St Ste 100, Bowling Green, KY 42104-5853 | 2019-09-26 |
| 1558929117 | Amber D Whitford | Nurse Practitioner | 406 S Main Cross St Unit A, Bowling Green, MO 63334-2239 | 2019-05-30 |
| 1306333828 | Amy Lynn Ramlow | Nurse Practitioner | 21885 Carter Rd, Bowling Green, OH 43402-9621 | 2018-04-19 |
| 1508380478 | Susan Kay Staples | Nurse Practitioner | 944 Searcy Way, Bowling Green, KY 42103-7168 | 2017-08-01 |
| 1437507860 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 350 Park St Ste 106, Bowling Green, KY 42101-1784 | 2016-05-26 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
Please comment or provide details below to improve the information on LAUREN EVANCZYK.
| 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.