MS. SANDRA KAY EVANS (NPI# 1396891669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396891669 |
| Entity Type | Individual |
| Full Name | MS. SANDRA KAY EVANS |
| Practice Address |
5417 Ne 25th Ave Portland OR 97211-6211 |
| Mailing Address |
4941 Se 134th Dr Portland OR 97236-3976 |
| Practice Telephone | 5034028118 |
| Mailing Telephone | 5037612429 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199804 | Sandra Jean Evans | Specialist/Technologist | 405 Farintosh Valley Ln, Durham, NC 27703-8116 | 2020-09-23 |
| 1154685188 | Sandra Ann Evans | Nurse Practitioner | 38578 Rougewood Dr, Sterling Heights, MI 48312-1308 | 2012-06-25 |
| 1780605188 | Sandra J Evans | Nurse Anesthetist, Certified Registered | 117 Timberline Trl, Alto Pass, IL 62905-2024 | 2006-07-21 |
| 1174587497 | Sandra Lee Evans | Licensed Practical Nurse | 190 Saybrooke, Canfield, OH 44406 | 2006-04-13 |
| 1154984375 | Sandra Evans | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-04-15 |
| 1740736362 | Sandra Evans | Registered Nurse | 138 Miller Lane, Bedford, KY 40006 | 2016-09-01 |
| 1811376999 | Sandra Evans | Counselor | 2772 Martin Luther King Jr. Blvd, Fresno, CA 93706 | 2015-05-22 |
| 1477892958 | Sandra Kay Evans | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2013-02-04 |
| 1689939233 | Sandra Evans | Home Health Aide | 7506 Georgia Ave Nw, Washington, DC 20012-1608 | 2012-07-10 |
| 1114216835 | Sandra L. Evans | Rehabilitation Counselor | 712 Bultman Dr, Suite D-1, Sumter, SC 29150-2553 | 2011-04-04 |
| Street Address |
5417 NE 25TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457977860 | Carmen Ramirez Hadirca | Case Manager/Care Coordinator | 5417 Ne 25th Ave, Portland, OR 97211-6211 | 2020-06-22 |
| 1134552334 | Holly Mott | Adult Companion | 5417 Ne 25th Ave, Portland, OR 97211-6211 | 2013-08-12 |
| 1912345158 | Charkyra Levenise Kahey | Adult Companion | 5417 Ne 25th Ave, Portland, OR 97211-6211 | 2013-06-10 |
| 1174872899 | Juan Pablo Lacayo | Adult Companion | 5417 Ne 25th Ave, Portland, OR 97211-6211 | 2012-09-10 |
| 1699041491 | Amie Gene Christie | Adult Companion | 5417 Ne 25th Ave, Portland, OR 97211-6211 | 2012-03-26 |
| 1083988570 | Luke Joseph Kuzava | Adult Companion | 5417 Ne 25th Ave, Portland, OR 97211-6211 | 2012-02-29 |
| 1740560622 | Peter Hale Tinsley | Adult Companion | 5417 Ne 25th Ave, Portland, OR 97211-6211 | 2011-08-23 |
| 1306138144 | Ivesha Elaine Harris | Adult Companion | 5417 Ne 25th Ave, Portland, OR 97211-6211 | 2011-05-12 |
| 1033415708 | Warnesia Danielle Lowe | Adult Companion | 5417 Ne 25th Ave, Portland, OR 97211-6211 | 2011-01-28 |
| 1114066354 | Cascadia Behavioral Healthcare Inc | Clinic/Center | 5417 Ne 25th Ave, Portland, OR 97211-6211 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184271462 | Taylor Salter | Adult Companion | 7018 N Armour St, Portland, OR 97203-6132 | 2019-08-21 |
| 1235785429 | Lonzall Tatum | Adult Companion | 1212 Sw Clay St Apt 409, Portland, OR 97201-7822 | 2019-08-13 |
| 1205303021 | Imani Anderson | Adult Companion | 434 Ne Roselawn St, Portland, OR 97211-3826 | 2018-10-30 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1104364900 | Rosanna Hunnicutt | Adult Companion | 2601 Se 160th Ave, Portland, OR 97236-2092 | 2017-02-01 |
| 1043755028 | Raolat Ajibade IIi | Adult Companion | 847 N.e 19thave, Portland, OR 97232 | 2016-12-29 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1255789731 | Sherri Schroeder | Adult Companion | 847 Ne 19th Ave., Suite100, Portland, OR 97232 | 2016-05-25 |
| 1750740577 | Sheila Amoo | Adult Companion | 236 N Killingworth St. Apt.b104, Portland, OR 97217 | 2016-02-22 |
| 1609241371 | Denise Broom | Adult Companion | 25 Ne Stafford St, Portland, OR 97211-2241 | 2015-12-07 |
| Find all providers in PORTLAND | ||||
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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.