DR. KATIE R EVANS (NPI# 1114351376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114351376 |
| Entity Type | Individual |
| Full Name | DR. KATIE R EVANS |
| Other Name | DR. KATIE R BERENDS |
| Credential | D.P.M. |
| Practice Address |
616 9th St N Virginia MN 55792-2320 |
| Practice Telephone | 2187493818 |
| Practice Fax Number | 2187493874 |
| Mailing Telephone | 2187493818 |
| Mailing Fax Number | 2187493874 |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
908 | MN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1114351376 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398527 | Katie Evans | Behavioral Analyst | 2117 E Madison St, Springfield, MO 65802-3025 | 2020-08-31 |
| 1417350711 | Katie Elizabeth Evans | Physical Therapy Assistant | 1200 Braun Run Road, Bethel Park, PA 15102 | 2014-09-30 |
| 1568985505 | Katie Lynne Evans | Counselor | 245 2nd St Nw, Carrollton, OH 44615-1305 | 2017-07-21 |
| 1972059947 | Katie Evans | Counselor | 11100 Ash St, Suite 100, Leawood, KS 66211-1925 | 2016-08-30 |
| 1184038754 | Katie L Evans | Social Worker | 9600 Veterans Dr, Tacoma, WA 98493-0001 | 2014-06-11 |
| 1982014536 | Katie E Evans | Physical Therapist | 501 Great Rd, Suite 108, North Smithfield, RI 02896-6833 | 2014-05-05 |
| 1851690028 | Katie Evans | Pharmacist | 1650 Main St, Olyphant, PA 18447-1334 | 2011-03-27 |
| Street Address |
616 9TH ST N |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55792-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205259041 | Range Foot & Ankle, Plc | Podiatrist | 616 9th St N, Virginia, MN 55792 | 2014-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
| 1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
| 1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
| 1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
| 1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
| Find all providers in zip 55792 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821263526 | Pav, Pllc | Podiatrist | 936 A General Booth Blvd., Virginia Beach, Virginia, VA 23451-4857 | 2008-04-24 |
| 1730615998 | Andrew Mekhail | Podiatrist | 1101 9th St N, Virginia, MN 55792-2329 | 2017-05-10 |
| 1205259041 | Range Foot & Ankle, Plc | Podiatrist | 616 9th St N, Virginia, MN 55792 | 2014-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023538493 | Foot and Ankle Clinic | Podiatrist | 2768 Superior Dr Nw Ste B, Rochester, MN 55901-8394 | 2017-06-26 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1346603701 | Laura M Buehler | Podiatrist | 2768 Superior Dr Nw, Rochester, MN 55901-3063 | 2016-04-03 |
| 1750627048 | Cambridge Foot and Ankle Clinic LLC | Podiatrist | 1001 1st Ave E Ste 180, Cambridge, MN 55008-1855 | 2012-12-14 |
| 1164716387 | Active Feet, Foot & Ankle Health Center | Podiatrist | 4001 Stinson Blvd Ste 120, Minneapolis, MN 55421-3424 | 2011-06-06 |
| 1063704807 | Midwest Foot and Ankle Specialists, LLC | Podiatrist | 11901 Central Ave Ne, Blaine, MN 55434-3911 | 2011-05-12 |
| 1215231428 | Robika Hundal | Podiatrist | 6600 Lyndale Ave South, Suite #130, Richfield, MN 55423-3398 | 2011-01-03 |
| 1083840664 | Matthew Christian Peterson | Podiatrist | 6545 France Ave S Ste 150, Edina, MN 55435-2180 | 2009-06-09 |
| 1407009483 | Aero Podiatrics, Inc. | Podiatrist | 1668 142nd Ct W, Rosemount, MN 55068-3595 | 2008-11-04 |
| 1306005111 | Jaclyn J Bohm | Podiatrist | 15705 Cimarron Ave, Rosemount, MN 55068 | 2008-06-06 |
| Find all providers with the same taxonomy | ||||
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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.