DR. KATHLEEN ANN EVANS (NPI# 1609125533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609125533 |
Entity Type | Individual |
Full Name | DR. KATHLEEN ANN EVANS |
Credential | D.D.S. |
Practice Address |
6411 State Highway 28 Fly Creek NY 13337-3007 |
Practice Telephone | 6075471291 |
Practice Fax Number | 6075475828 |
Mailing Telephone | 6075471291 |
Mailing Fax Number | 6075475828 |
Enumeration Date | 2012-09-06 |
Last Update Date | 2012-09-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
045660 | NY | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598129876 | Kathleen Evans | Optometrist | 7310 Yellowhorn Trl, Waxhaw, NC 28173-7465 | 2016-04-12 |
1063758340 | Kathleen Mccrea Evans | Counselor | 11 Medical Center Drive, Brunswick, ME 04011-2690 | 2012-12-14 |
1528351731 | Kathleen Dawn Evans | Speech-Language Pathologist | 16 Hardin Ln, Bozeman, MT 59718-8971 | 2011-05-20 |
1568484715 | Kathleen Berry Evans | Counselor | 4470 Nw 22nd Ave, Ocala, FL 34475-7240 | 2006-07-24 |
1841764917 | Kathleen Evans | Speech-Language Pathologist | 1413 Laskin Rd, Virginia Beach, VA 23451-6007 | 2019-01-11 |
1801370655 | Kathleen Mairin Evans | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2018-09-18 |
1710337209 | Kathleen Anne Evans | Internal Medicine | 575 W 181st St, New York, NY 10033-5002 | 2016-06-15 |
1336500826 | Kathleen Evans | Audiologist | 2657 Nottingham Way, Mercerville, NJ 08619-4109 | 2016-03-11 |
1477958361 | Kathleen Evans | Nurse Practitioner | 512 E Highland Blvd # 150, San Antonio, TX 78210-3521 | 2014-11-04 |
1790923563 | Kathleen Erin Evans | Internal Medicine | 2525 Us Highway 431, Boaz, AL 35957-5934 | 2009-02-01 |
Street Address |
6411 STATE HIGHWAY 28 |
City | FLY CREEK |
State | NY |
Zip Code | 13337-3007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053498188 | Karen Cadwalader | Social Worker | 189 Cemetary Road, Fly Creek, NY 13337 | 2006-11-01 |
1326511262 | Vince Solomon | Social Worker | 432 Stone House Rd, Fly Creek, NY 13337-2502 | 2019-01-03 |
1447405493 | Christy Lynn Mickels Deringer | Speech-Language Pathologist | 1123 County Highway 26, Fly Creek, NY 13337-2703 | 2008-11-18 |
1568006112 | Oneonta Family Medicine Clinic | Family Medicine | 1123 County Highway 26, Fly Creek, NY 13337-2703 | 2019-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326511262 | Vince Solomon | Social Worker | 432 Stone House Rd, Fly Creek, NY 13337-2502 | 2019-01-03 |
1447405493 | Christy Lynn Mickels Deringer | Speech-Language Pathologist | 1123 County Highway 26, Fly Creek, NY 13337-2703 | 2008-11-18 |
1053498188 | Karen Cadwalader | Social Worker | 189 Cemetary Road, Fly Creek, NY 13337 | 2006-11-01 |
1568006112 | Oneonta Family Medicine Clinic | Family Medicine | 1123 County Highway 26, Fly Creek, NY 13337-2703 | 2019-11-06 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
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1447859509 | Scarsdale Plaza Dental Services, Pllc | Dentist | 455 Central Park Ave Ste 309, Scarsdale, NY 10583-1034 | 2020-10-20 |
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1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
1184235939 | Western Island Dental Care Pllc | Dentist | 1900 Hempstead Tpke Ste 402, East Meadow, NY 11554-1702 | 2020-08-14 |
1992315469 | Elvin F Ramirez | Dentist | 274 W 140th St Apt 1, New York, NY 10030-1738 | 2020-08-08 |
1215547864 | Taylor Truncali | Dentist | 3671 Route 9w, Highland, NY 12528-2000 | 2020-08-07 |
1275143299 | Francisco J Osorio | Dentist | 812 W 181st St Apt 32, New York, NY 10033-4555 | 2020-08-04 |
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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.