KIMBERLY SUE EVANS (NPI# 1790023380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790023380 |
| Entity Type | Individual |
| Full Name | KIMBERLY SUE EVANS |
| Practice Address |
6202 S Lewis Ave Suite H Tulsa OK 74136-1099 |
| Mailing Address |
14413 S 26th West Ave Glenpool OK 74033-3306 |
| Practice Telephone | 9189494086 |
| Practice Fax Number | 9189493638 |
| Mailing Telephone | 9183813226 |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200287120A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417418567 | Kimberly R Evans | Student in an Organized Health Care Education/Training Program | 7615 Kennedy Hl, San Antonio, TX 78235-4437 | 2019-03-29 |
| 1497233324 | Kimberly S Evans | Specialist/Technologist, Other | 7016 Oak Cove Dr, Biloxi, MS 39532-5013 | 2018-08-02 |
| 1225531734 | Kimberly Evans | Massage Therapist | 75-5597 Palani Rd Ste B-1, Kailua Kona, HI 96740-1661 | 2018-03-10 |
| 1164950309 | Kimberly J Evans | Counselor | 1409 Kirkman Street, Lake Charles, LA 70601-5344 | 2017-06-01 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1942509195 | Kimberly Dawn Evans | Pharmacist | 101 Laurel Ave, Coeburn, VA 24230-3529 | 2011-03-26 |
| 1033391933 | Kimberly L Evans | Counselor | 3401 Holmes Ave Nw, Huntsville, AL 35816-4107 | 2007-12-03 |
| 1619164118 | Kimberly A Evans | Dietitian, Registered | 68 Folsham Hollow Rd, South Burlington, VT 05403-5613 | 2007-09-28 |
| 1003007667 | Kimberly Anne Evans | Counselor | 219 Applebee St, Barrington, IL 60010-3036 | 2007-08-07 |
| 1962587337 | Kimberly Lee Evans | Obstetrics & Gynecology | 1441 Highway 6 Ste 200, Sugar Land, TX 77478-4951 | 2006-10-26 |
| Street Address |
6202 S LEWIS AVE SUITE H |
| City | TULSA |
| State | OK |
| Zip Code | 74136-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487634960 | David Paul Jubelirer | Pediatrics | 6202 S Lewis Ave, Suite A, Tulsa, OK 74136-1099 | 2006-01-19 |
| 1619422995 | Taylor Michelle Horne | Student in an Organized Health Care Education/Training Program | 6202 S Lewis Ave, Tulsa, OK 74136-1099 | 2016-08-16 |
| 1588025449 | Katie Cole | Behavioral Analyst | 6202 S Lewis Ave, Ste J, Tulsa, OK 74136-1099 | 2016-03-18 |
| 1306201991 | Jennifer Randolph | Behavioral Analyst | 6202 S Lewis Ave, Ste J, Tulsa, OK 74136-1099 | 2015-12-23 |
| 1629445770 | Frances Marie Ashcroft | Social Worker | 6202 S Lewis Ave, Ste J, Tulsa, OK 74136-1099 | 2015-08-25 |
| 1528434743 | Maragret Jane Miller | Case Manager/Care Coordinator | 6202 S Lewis Ave, Tulsa, OK 74136-1099 | 2015-08-12 |
| 1598146896 | Terri Nordstrom | Counselor | 6202 S Lewis Ave, Suite M, Tulsa, OK 74136-1099 | 2015-06-11 |
| 1821476391 | Brittany Boneta | Student in an Organized Health Care Education/Training Program | 6202 S Lewis Ave, Ste J, Tulsa, OK 74136-1099 | 2015-05-15 |
| 1871981514 | Taylor Gibson | Social Worker | 6202 S Lewis Ave, Suite J, Tulsa, OK 74136-1099 | 2015-01-05 |
| 1982019030 | Jasmine Montoya | Counselor | 6202 S Lewis Ave, Suite M, Tulsa, OK 74136-1099 | 2014-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761004 | Ashley Jane Runnells | Counselor | 4867 S Sheridan Rd Ste 712a, Tulsa, OK 74145-5721 | 2020-08-17 |
| 1598316168 | Ryan David Sharpe | Counselor | 8218 S 77th East Ave Apt 1082, Tulsa, OK 74133-3966 | 2019-09-25 |
| 1588137780 | Hailee Dean Monroe | Counselor | 4103 S Yale Ave, Tulsa, OK 74135-6002 | 2019-01-10 |
| 1104308212 | Tawnya Denise Henderson | Counselor | 223 E Woodrow Pl, Tulsa, OK 74106-3729 | 2018-09-05 |
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1386146660 | Breanna White | Counselor | 7541 S Mingo Rd Apt 7154, Tulsa, OK 74133-3384 | 2018-03-02 |
| 1699285015 | Christina M Smalley | Counselor | 600 Civic Ctr, Tulsa, OK 74103-3829 | 2017-10-11 |
| 1700395902 | Rachel Lynn Richardson | Counselor | 5800 E Skelly Dr Ste 1100, Tulsa, OK 74135-6448 | 2017-09-20 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on KIMBERLY SUE 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.