KELLI LANE EVANS (NPI# 1871055210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871055210 |
| Entity Type | Individual |
| Full Name | KELLI LANE EVANS |
| Credential | FNP-BC |
| Practice Address |
260 W Coleman Blvd Ste A Mount Pleasant SC 29464-3666 |
| Mailing Address |
3025 Haswell St Apt 1502 Daniel Island SC 29492-6414 |
| Practice Telephone | 8435778484 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
22711 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962726604 | Kelli Lynn Evans | Registered Nurse | 5949 Stillson Pl, Boardman, OH 44512-2929 | 2010-03-24 |
| 1134289341 | Kelli Renae Evans | Physical Therapist | 20944 E Crestline Pl, Centennial, CO 80015-3624 | 2006-12-11 |
| 1811537111 | Kelli Evans | Behavior Technician | 29691 6 Mile Rd # 100d, Livonia, MI 48152-8606 | 2020-01-14 |
| 1508348590 | Kelli Evans | Nurse Practitioner | 11200 Lincoln Hwy, Mokena, IL 60448-8208 | 2018-09-05 |
| 1013218809 | Kelli Jo Evans | Speech-Language Pathologist | 5721 Usa North Dr, Hahn 1119, Mobile, AL 36688-0002 | 2010-11-09 |
| 1881888071 | Kelli Elaine Evans | Licensed Vocational Nurse | 650 Howe Ave, Bldg. 200, Sacramento, CA 95825-4731 | 2007-08-30 |
| 1265448799 | Kelli D Evans | Physical Therapist | 16 Ginger Creek Pkwy, Glen Carbon, IL 62034-3502 | 2006-08-01 |
| Street Address |
260 W COLEMAN BLVD STE A |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-3666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700202884 | Charlene Ogonowski | Nurse Practitioner | 1625 E Broomfield St, Mount Pleasant, MI 48858-5429 | 2014-03-12 |
| 1285287516 | Stephanie R Donovan | Nurse Practitioner | 615 Johnnie Dodds Blvd Ste 102, Mount Pleasant, SC 29464-3082 | 2019-07-16 |
| 1235624396 | Alexis Stevens | Nurse Practitioner | 1970 Ashland Dr, Mount Pleasant, MI 48858-1203 | 2018-06-29 |
| 1073850376 | Veronica Mae Riess | Nurse Practitioner | 2935 Health Pkwy, Mount Pleasant, MI 48858-8931 | 2013-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588819 | Natalia Milliken | Nurse Practitioner | 4921 Bluffton Pkwy Apt 534, Bluffton, SC 29910-4655 | 2020-11-04 |
| 1447851084 | Paris Gartmon | Nurse Practitioner | 630 Canalside St Unit 1016, Columbia, SC 29201-6030 | 2020-11-02 |
| 1881291722 | Margot Veronique Rabren | Nurse Practitioner | 109 Carter Park Dr # 3a, Seneca, SC 29678-1152 | 2020-10-05 |
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1821649344 | Jacqueline G. Stephens | Nurse Practitioner | 406 S Railroad Ave, Lamar, SC 29069-2906 | 2019-09-25 |
| 1780241182 | Adrienne Lendsey Hinton | Nurse Practitioner | 201 Lake Front Dr, Columbia, SC 29212-2422 | 2019-05-22 |
| 1083278279 | Heather Michelle Martin | Nurse Practitioner | 115 Eagles Nest Dr Ste B, Seneca, SC 29678-2762 | 2019-04-24 |
| 1255807087 | Jaclyn Blair Lucchese | Nurse Practitioner | 25 Hospital Center Blvd Ste 105, Hilton Head Island, SC 29926-2735 | 2018-10-19 |
| 1790297497 | Juliann Marie Trumpower | Nurse Practitioner | 9789 Charlotte Hwy Ste 1400, Fort Mill, SC 29707-7186 | 2017-11-02 |
| 1841700259 | Lyn Ivy Lipat | Nurse Practitioner | 9221 University Blvd Ste C, North Charleston, SC 29406-9148 | 2017-10-11 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
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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.