KATHLEEN MAIRIN EVANS (NPI# 1801370655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801370655 |
| Entity Type | Individual |
| Full Name | KATHLEEN MAIRIN EVANS |
| Other Name | KATHLEEN MAIRIN BOODEE |
| Credential | NP |
| Practice Address |
2301 Erwin Rd Durham NC 27705-4699 |
| Mailing Address |
Center for Advanced Practice Dumc 3458 Durham NC 27710-0001 |
| Practice Telephone | 9196848111 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5010996 | NC | Physician Assistants & Advanced Practice Nursing 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 |
| 1609125533 | Kathleen Ann Evans | Dentist | 6411 State Highway 28, Fly Creek, NY 13337-3007 | 2012-09-06 |
| 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 |
| 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 |
2301 ERWIN RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-4699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045857 | Duke University Health System, Inc. | Psychiatric Unit | 2301 Erwin Rd, Durham, NC 27705-4699 | 2005-06-30 |
| 1669073854 | Courtney Whitmore Jensen | Genetic Counselor, MS | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-04 |
| 1114528429 | Nicholas Tricarico | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-03 |
| 1164021788 | Wen Chian Ouyang | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-23 |
| 1447857529 | Christopher O'neal Fry | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-02 |
| 1932706140 | Ariane Cook | Physician Assistant | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-01 |
| 1801403795 | Shannon Marie Vannasane | Anesthesiology | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-25 |
| 1396352233 | Olivia Delpizzo | Registered Nurse | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-24 |
| 1619583051 | Colin Sauter | Physical Therapist | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-21 |
| 1962017111 | Anna Bueton | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528511102 | Tara Lynn West | Nurse Practitioner | 2300 Erwin Rd, Durham, NC 27707 | 2016-07-29 |
| 1285017863 | Danielle Sturkey | Nurse Practitioner | 2301 Erwin Road Box 3090/duke North 7506, Durham, NC 27710-4642 | 2015-07-01 |
| 1720472400 | Alexandra Megan Jackson | Nurse Practitioner | 6301 Herndon Road, Durham, NC 27713 | 2015-03-20 |
| 1538438882 | Lori Christine Walczyk | Nurse Practitioner | 5524 Hospital N, 100500 Med Center, Durham, NC 27710-0001 | 2011-12-15 |
| 1619207032 | Brenda Ward Poirier | Nurse Practitioner | 2415 E Geer St, Glenn Elementary School Wellness Center, Durham, NC 27704-3717 | 2010-01-07 |
| 1558588640 | Christine Hiller | Nurse Practitioner | 1301 Erwin Rd, Dumc 3474, Durham, NC 27710-0001 | 2007-04-19 |
| 1033283643 | Ana Maria Fernandez | Nurse Practitioner | 200 Trent Dr Ste 110, Durham, NC 27710-2319 | 2006-11-17 |
| 1770697559 | Lisa Ellen Rasbach | Nurse Practitioner | 3000 Erwin Road Suite 200, Durham, NC 27710 | 2006-08-18 |
| 1245799733 | Melissa Anne Loyd | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-03-14 |
| 1083186050 | Kaitlin Campbell | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-01-01 |
| Find all providers in DURHAM | ||||
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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.