SAMUEL L. EVANS (NPI# 1437595980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437595980 |
| Entity Type | Individual |
| Full Name | SAMUEL L. EVANS |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
311 E Clifty Dr Madison IN 47250-4621 |
| Mailing Address |
Po Box 979 Madison IN 47250-0979 |
| Practice Telephone | 8122742742 |
| Mailing Telephone | 5022430460 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71004421A/B | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396225298 | Samuel Ray Evans | Counselor | 1135 Cedar Shoals Dr Ste B, Athens, GA 30605-5299 | 2018-08-20 |
| 1407197684 | Samuel Charles Evans | Family Medicine | 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 | 2013-03-12 |
| 1710127022 | Samuel Gene Evans Jr. | Dentist | 304 Iona St, Fairmont, NC 28340-1618 | 2009-02-26 |
| 1508029356 | Samuel K Evans | Internal Medicine | 593 Eddy St, Apc 7, Providence, RI 02903-4923 | 2008-07-02 |
| 1710194998 | Samuel Evans | Licensed Practical Nurse | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-17 |
| 1063581932 | Samuel Dixie Evans | Obstetrics & Gynecology | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2006-11-07 |
| 1992744452 | Samuel J Evans | Internal Medicine | 2230 Liliha St, Critical Care Dept., Honolulu, HI 96817-1646 | 2006-06-06 |
| Street Address |
311 E CLIFTY DR |
| City | MADISON |
| State | IN |
| Zip Code | 47250-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316023930 | Janet Elizabeth Thorley | Nurse Practitioner | 311 E Clifty Dr, Madison, IN 47250-4621 | 2006-10-27 |
| 1750910816 | Tyler Patton | Nurse Practitioner | 311 E Clifty Dr, Madison, IN 47250-4621 | 2020-04-02 |
| 1255863171 | Tina Goodin | Nurse Practitioner | 311 E Clifty Dr, Madison, IN 47250-4621 | 2017-03-30 |
| 1508240169 | Gail Mcknight Turner | Nurse Practitioner | 311 E Clifty Dr, Madison, IN 47250-4621 | 2015-07-14 |
| 1184907099 | Branden A Bledsoe | Nurse Practitioner | 311 E Clifty Dr, Madison, IN 47250-4621 | 2011-09-27 |
| 1538474580 | First Stop Urgent Care Madison Psc | Nurse Practitioner | 311 E Clifty Dr, Madison, IN 47250-4621 | 2010-08-15 |
| 1629209028 | Jennifer Lynn Cicchiello | Nurse Practitioner | 311 E Clifty Dr, Madison, IN 47250-4621 | 2009-08-03 |
| 1871732859 | Nilda E Durany | Family Medicine | 311 E Clifty Dr, Madison, IN 47250-4621 | 2009-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424468 | Rachel Gallagher | Nurse Practitioner | 822 E Washington Ave, Madison, WI 53703-6500 | 2020-07-10 |
| 1932728177 | Cori Barkei | Nurse Practitioner | 3128 Limekiln St, Madison, WI 53719-2573 | 2020-04-08 |
| 1265075626 | Maria Rachuonyo | Nurse Practitioner | 165 Chestnut Dr, Madison, AL 35758-9524 | 2019-10-17 |
| 1548821333 | Sumner B Douglas | Nurse Practitioner | 401 Baptist Dr Ste 1040, Madison, MS 39110-2009 | 2019-06-24 |
| 1942865365 | Marta Cooper | Nurse Practitioner | 579 Donofrio Dr Ste 1, Madison, WI 53719-2838 | 2019-05-02 |
| 1215490024 | Angela Wiggins | Nurse Practitioner | 1210 Briarville Rd Bldg B, Madison, TN 37115-5136 | 2019-04-09 |
| 1124585419 | Melissa Kay Albright | Nurse Practitioner | 44 Hughes Rd Ste 2500, Madison, AL 35758-3026 | 2019-02-22 |
| 1912475393 | Katlynn Ann Kelley | Nurse Practitioner | 20 S Park St Rm M417, Madison, WI 53715-1348 | 2018-11-05 |
| 1053887943 | Denita Ward | Nurse Practitioner | 2145 Fox Ave, Madison, WI 53711-1920 | 2018-10-17 |
| 1992203079 | Brandy J Smith | Nurse Practitioner | 703 Green Rd Ste 1, Madison, IN 47250-2145 | 2018-01-24 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on SAMUEL L. EVANS.
| 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.