MRS. KELLY LORRAINE EVANS (NPI# 1326297482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326297482 |
| Entity Type | Individual |
| Full Name | MRS. KELLY LORRAINE EVANS |
| Credential | RN |
| Practice Address |
1540 Glenwood Ave Syracuse NY 13207-1011 |
| Mailing Address |
105 Ruskin Ave Syracuse NY 13207-1324 |
| Practice Telephone | 3154761771 |
| Mailing Telephone | 3154797983 |
| Enumeration Date | 2008-09-14 |
| Last Update Date | 2008-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
495840-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02701884 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407211352 | Kelly Evans | Home Health Aide | 13947 Castille St, Victorville, CA 92392-5508 | 2015-12-19 |
| 1396178174 | Kelly Evans | Counselor | 8 Reservoir Circle, Suite 103, Families Connected, LLC, Baltimore, MD 21208 | 2013-08-15 |
| 1093027906 | Kelly Anne Evans | Marriage & Family Therapist | 408 Saint Peter St Ste 429, Saint Paul, MN 55102-1119 | 2010-07-08 |
| 1235289976 | Kelly Carter Evans | Counselor | 27888 Meadow Dr, Suite 106, Evergreen, CO 80439-2102 | 2007-01-12 |
| 1124107693 | Kelly Evans | Internal Medicine | 85 Highway 80, Manchester, KY 40962-8801 | 2006-11-03 |
| 1720165251 | Kelly Charles Evans | Psychologist | 2714 Stewart Ave, Wausau, WI 54401-4153 | 2006-11-01 |
| 1730654104 | Kelly Evans | Speech-Language Pathologist | 13333 Blanco Rd Ste 310, San Antonio, TX 78216-7756 | 2018-10-11 |
| 1508341181 | Kelly Evans | Nurse Practitioner | 6616 Center Grove, Edwardsville, IL 62025 | 2018-09-28 |
| 1699221663 | Kelly Ann Evans | Nurse Anesthetist, Certified Registered | 51 N 39th St, Philadelphia, PA 19104-2640 | 2016-08-30 |
| 1245785534 | Kelly Evans | Counselor | 3701 Landsdowne Dr, Ashland, KY 41102-5422 | 2016-08-17 |
| Street Address |
1540 GLENWOOD AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13207-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356565675 | Mary Agnes Wykstra | Registered Nurse | 1540 Glenwood Ave, Syracuse, NY 13207-1011 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588150254 | Tonia Michelle Moore | Licensed Practical Nurse | 621 West Brighton Ave, Syracuse, NY 13207 | 2018-07-06 |
| 1992154710 | Alza Theresa Johnson | Licensed Vocational Nurse | 139 Clyde Ave, Syracuse, NY 13207 | 2016-06-13 |
| 1932528627 | Chakira Harris | Licensed Practical Nurse | 943 West Lafayette Ave, Apt 2, Syracuse, NY 13207 | 2014-04-10 |
| 1598195471 | Brittany St. Dennis | Licensed Practical Nurse | 134 Swrhill Terrace, Syracuse, NY 13207 | 2013-11-14 |
| 1417380445 | Terence White | Registered Nurse | 314 Palmer Ave, Syracuse, NY 13207 | 2013-08-13 |
| 1447587795 | Lauren C Belair | Licensed Practical Nurse | 3665 Gardenia Dr., Baldwinsville, NY 13207 | 2009-11-06 |
| 1497088843 | Eileen R. Mchale | Speech-Language Pathologist | 301 Valley Drive, Parkside Children's Center, Syracuse, NY 13207 | 2009-09-16 |
| 1114160199 | Melissa Ann Clark | Licensed Practical Nurse | 113 Cheney St, Syracuse, NY 13207 | 2009-04-07 |
| 1164674727 | Hope R Ford | Licensed Practical Nurse | 541 Velasko Rd, Syracuse, NY 13207-1030 | 2008-10-15 |
| 1043357395 | Felicia Montanez | Nurse Practitioner | 110 Bungalow Ter, Syracuse, NY 13207-1102 | 2007-01-30 |
| Find all providers in zip 13207 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710537147 | Allison K Philips | Registered Nurse | 97 Patricia Dr, Syracuse, NY 13212-4272 | 2019-09-17 |
| 1821407263 | Perrin Elizabeth Kaftan | Registered Nurse | 128 Circle Rd, Syracuse, NY 13210-3046 | 2014-08-11 |
| 1952727638 | Deidre Dyer | Registered Nurse | 200 Berwick Rd N, Syracuse, NY 13208-3305 | 2014-03-05 |
| 1437359254 | Anne Marie Smola | Registered Nurse | 117 Garland Rd, Syracuse, NY 13219-1217 | 2007-07-19 |
| 1326257791 | Heidi Lynne Perkins | Registered Nurse | 103 Dewberry Ln, Syracuse, NY 13219-2805 | 2007-05-22 |
| 1043350788 | Marian J Reichert | Registered Nurse | 936 Cumberland Ave, Syracuse, NY 13210-3410 | 2007-02-08 |
| 1437296449 | Maureen Watts | Registered Nurse | 25 Drumlins Ter, Syracuse, NY 13224-2217 | 2007-01-31 |
| 1578621298 | Pamala Jean Bishop | Registered Nurse | 400 Kimber Rd, Syracuse, NY 13224-1836 | 2006-12-05 |
| 1235215526 | Lorraine J Dardani | Registered Nurse | 4917 Limehill Dr, Syracuse, NY 13215-1326 | 2006-10-29 |
| 1851718233 | Veronica Asiiko Ellis | Registered Nurse | 241 Lorraine Ave, Syracuse, NY 13210-3229 | 2014-03-24 |
| Find all providers in SYRACUSE | ||||
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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.