CRISTON B EVANS (NPI# 1205342136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205342136 |
| Entity Type | Individual |
| Full Name | CRISTON B EVANS |
| Credential | CDCA |
| Practice Address |
14532 Us Highway 23 Waverly OH 45690 |
| Mailing Address |
1529 Swauger Valley Rd Portsmouth OH 45662-8898 |
| Practice Telephone | 7402859624 |
| Mailing Telephone | 7402859624 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 156080 | OH | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | CDCA.169327 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0269005 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14532 Us Highway 23, Waverly, OH 45690 | 7402859624 | |
| 700 Park Ave, Ironton, OH 45638 | 7405321613 | 7405321715 |
| Street Address |
14532 US HIGHWAY 23 |
| City | WAVERLY |
| State | OH |
| Zip Code | 45690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655315 | Courtney Davis | Counselor | 14532 Us Highway 23, Waverly, OH 45690-9462 | 2020-10-05 |
| 1659906592 | Maria Arbogast | Counselor | 14532 Us Highway 23, Waverly, OH 45690-9462 | 2020-03-11 |
| 1871126094 | Shae Steele | Counselor | 14532 Us Highway 23, Waverly, OH 45690-9462 | 2020-02-17 |
| 1134614951 | Jessica Rodgers | Counselor | 14532 Us Highway 23, Waverly, OH 45690-9373 | 2018-06-25 |
| 1407341316 | Amber Ohlinger | Counselor | 14532 Us Highway 23, Waverly, OH 45690 | 2018-06-25 |
| 1710477336 | Tiffany Gorman | Counselor | 14532 Us Highway 23, Waverly, OH 45690-9373 | 2018-05-18 |
| 1265931745 | Christa Moore | Counselor | 14532 Us Highway 23, Waverly, OH 45690-9373 | 2018-02-09 |
| 1891202081 | Anita Huffman | Counselor | 14532 Us Highway 23, Waverly, OH 45690-9373 | 2018-01-09 |
| 1538676911 | Heather Renee Mullins | Counselor | 14532 Us Highway 23, Waverly, OH 45690-9373 | 2018-01-06 |
| 1063929909 | Vanessa Mcguire | Counselor | 14532 Us Highway 23, Waverly, OH 45690-9373 | 2018-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1619483179 | Ticia Lewis | Counselor | 14532 State Route 23, Waverly, OH 45690 | 2017-12-20 |
| 1447763313 | Jody Ryan Colley | Counselor | 14572 St. Rt. 23, Waverly, OH 45690 | 2017-11-14 |
| 1255844577 | Teresa Lawson | Counselor | 14572 St Rt 23, Waverly, OH 45690 | 2017-11-08 |
| Find all providers in zip 45690 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126512 | Tracy L. Anderson | Licensed Practical Nurse | 14340 Castlewood St, Waverly, NE 68462-1580 | 2020-08-25 |
| 1891303442 | Wendy Jean Lougher | Licensed Practical Nurse | 441 Pennsylvania Ave, Waverly, NY 14892-1451 | 2020-07-20 |
| 1841820818 | Wendy Michelle Rogers | Licensed Practical Nurse | 428 Loder St, Waverly, NY 14892-1305 | 2020-01-18 |
| 1467963249 | Kayla J Arrowood | Licensed Practical Nurse | 14532 Us Rt 23, Waverly, OH 45690 | 2017-10-19 |
| 1790294460 | Adam Tyler Kurtz | Licensed Practical Nurse | 14574 Us Rt 23, Waverly, OH 45690 | 2017-09-26 |
| 1851823652 | Deidre Yinger | Licensed Practical Nurse | 306 Armstrong Hollow Rd, Waverly, OH 45690-9124 | 2017-03-30 |
| 1053779769 | Amanda Decker | Licensed Practical Nurse | 3102 25th St Sw, Waverly, MN 55390-5043 | 2016-02-09 |
| 1891108833 | Kristi Fyffe | Licensed Practical Nurse | 2720 Mount Tabor Rd, Waverly, OH 45690-9162 | 2014-06-06 |
| 1780020917 | Connie Gullett | Licensed Practical Nurse | 231 Saint Marys Ln, Waverly, OH 45690-1052 | 2013-05-14 |
| 1326301458 | Gwendolyn Lea Evans | Licensed Practical Nurse | 178 Mill Run Rd, Lot # 136, Waverly, OH 45690-9392 | 2012-06-22 |
| Find all providers in WAVERLY | ||||
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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.