SAMUEL EVANS (NPI# 1710194998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710194998 |
| Entity Type | Individual |
| Full Name | SAMUEL EVANS |
| Credential | LPN |
| Practice Address |
175 Philpot Lane Beaver WV 25813 |
| Mailing Address |
5 Lake Rd Daniels WV 25832-9709 |
| Practice Telephone | 3042549262 |
| Mailing Telephone | 3042532794 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 26735 | WV | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396225298 | Samuel Ray Evans | Counselor | 1135 Cedar Shoals Dr Ste B, Athens, GA 30605-5299 | 2018-08-20 |
| 1437595980 | Samuel L. Evans | Nurse Practitioner | 311 E Clifty Dr, Madison, IN 47250-4621 | 2013-05-10 |
| 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 |
| 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 |
175 PHILPOT LANE |
| City | BEAVER |
| State | WV |
| Zip Code | 25813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043229594 | Beckley Treatment Center | Clinic/Center | 175 Philpot Lane, Beaver, WV 25813 | 2006-08-05 |
| 1306054937 | Kimberly Meade | Counselor | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-18 |
| 1649488206 | Angela Chambers | Social Worker | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-18 |
| 1144438714 | Leah Kidd | Counselor | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-18 |
| 1437367018 | Kenneth Birchfield | Counselor | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-18 |
| 1346458916 | Stephen Chambers | Social Worker | 175 Philpot Lane, Beaver, WV 28513 | 2007-05-18 |
| 1336357979 | Leisha Lewis | Social Worker | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-18 |
| 1508073784 | Diane Smith | Licensed Practical Nurse | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-17 |
| 1306053582 | Keri Wilson | Licensed Practical Nurse | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-17 |
| 1184831380 | Tina Mullins | Counselor | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303689 | Jeanie Rae Hosler | Technician | 1897 Fitzpatrick Rd, Glen Morgan, WV 25813 | 2020-10-14 |
| 1699383448 | Anthony Ray Wills | Technician | 1110 Old Crow Rd, Beaver, WV 25813 | 2020-07-17 |
| 1053858191 | Mary Fox | Physical Therapy Assistant | 100 Grey Stone Drive, Beaver, WV 25813 | 2017-01-27 |
| 1912224676 | Amber Marie Lilly | Occupational Therapist | 200 Greystone Drive, Beaver, WV 25813 | 2010-04-21 |
| 1073735346 | Dominick Harry Mclain | Emergency Medicine | 1600 Industrial Park Road, Beaver, WV 25813 | 2007-05-03 |
| 1457476525 | M I Dababnah Md Inc | Clinic/Center | 856 S. Ritter Dr., Beaver, WV 25813 | 2007-03-20 |
| 1255477212 | Linkous Family Health Care LLC | Nurse Practitioner | 993 Ritter Drive, Beaver, WV 25813 | 2007-01-29 |
| 1033212493 | David Mccormack Dds | Dentist | 701 Ritter Dr, Beaver, WV 25813 | 2006-09-07 |
| 1518060276 | West Virginia Cvs Pharmacy LLC | Pharmacy | Rte 19 21 Ritter Drive, Beaver, WV 25813 | 2006-09-07 |
| 1518073907 | Sherry L Duvall | Nurse Practitioner | 134 Medical Place, Airport Industrial Park, Commerce Drive, Beaver, WV 25813 | 2006-08-21 |
| Find all providers in zip 25813 | ||||
| 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 |
|---|---|---|---|---|
| 1023413408 | Janet Phipps | Licensed Practical Nurse | 3417 Germany Rd, Beaver, OH 45613-9490 | 2014-10-28 |
| 1053616508 | Toni Rochelle Blair | Licensed Practical Nurse | 2537 Germany Rd, Beaver, OH 45613-9418 | 2011-01-13 |
| 1366634073 | Anna Barbara Ison | Licensed Practical Nurse | 1290 Bobo Rd, Beaver, OH 45613-9407 | 2007-08-16 |
| 1417334723 | Brooke Cecchini | Licensed Practical Nurse | 659 3rd St, Beaver, PA 15009-2115 | 2015-05-06 |
| 1033558325 | Karina R Hudac | Licensed Practical Nurse | 659 3rd St, Beaver, PA 15009-2115 | 2013-06-19 |
| 1730528290 | Cheryl L Johnson | Licensed Practical Nurse | 659 3rd St, Beaver, PA 15009-2115 | 2013-06-18 |
| 1912346438 | Stephanie F Somogie | Licensed Practical Nurse | 659 3rd St, Beaver, PA 15009-2115 | 2013-06-18 |
| 1083867238 | Shawna Diane Bobst | Licensed Practical Nurse | 609 Church St, Beaver, OH 45613-9314 | 2008-11-01 |
| 1508073784 | Diane Smith | Licensed Practical Nurse | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-17 |
| 1306053582 | Keri Wilson | Licensed Practical Nurse | 175 Philpot Lane, Beaver, WV 25813 | 2007-05-17 |
| Find all providers in BEAVER | ||||
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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.