RAYMOND RICHARD EVANS (NPI# 1871860890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871860890 |
| Entity Type | Individual |
| Full Name | RAYMOND RICHARD EVANS |
| Credential | LADC |
| Practice Address |
2499 Rice Street Roseville MN 55113 |
| Practice Telephone | 7637727331 |
| Practice Fax Number | 6516456100 |
| Mailing Telephone | 7637727331 |
| Mailing Fax Number | 6516456100 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
300330 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770114035 | Raymond Gregory Evans | Technician | 509 Peabody St Nw, Washington, DC 20011-2046 | 2020-01-27 |
| 1184271306 | Raymond Lamont Evans Jr. | Technician | 1208 Evarts St Ne Apt 204, Washington, DC 20018-3728 | 2019-08-22 |
| 1104450634 | Raymond E Evans | Registered Nurse | 6460 Harrison Ave, Cincinnati, OH 45247-7957 | 2020-02-24 |
| 1346735073 | Raymond Evans | Physical Therapy Assistant | 401 Chandler Rd, Greer, SC 29651-1243 | 2018-06-26 |
| 1437544855 | Raymond Corey Evans | Chiropractor | 8370 Main St, Williamsville, NY 14221-6104 | 2015-04-02 |
| 1134518269 | Raymond Thomas Evans Jr. | Counselor | 1235 Pine St, Philadelphia, PA 19107-5945 | 2015-01-13 |
| 1467678847 | Raymond Evans | Dentist | 2993 S Peoria St, Ste 250, Aurora, CO 80014-3107 | 2007-04-17 |
| 1134234099 | Raymond M. Evans IIi | Anesthesiology | 400 N Mills Ave, Orlando, FL 32803-5722 | 2006-08-20 |
| 1093708257 | Raymond C Evans | Radiology | 901 18th St E, Tifton, GA 31794-3648 | 2005-08-23 |
| Street Address |
2499 RICE STREET |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575364 | William Henry Hoffman IIi | Counselor | 2467 Sheldon St, Roseville, MN 55113-3138 | 2019-06-02 |
| 1962987560 | Bradley Thomas Conley | Counselor | 2233 Hamline Ave N Ste 110, Roseville, MN 55113-5002 | 2018-09-28 |
| 1386156065 | Gina M Nunez | Counselor | 730 Sunrise Ave Ste 200-201, Roseville, CA 95661-4567 | 2017-11-02 |
| 1023540515 | Dawn New Awakening LLC | Counselor | 26316 Ronald St, Roseville, MI 48066-4458 | 2017-04-03 |
| 1962809699 | Michael Walsh Gannon | Counselor | 109 Cloud Touch Ct, Roseville, CA 95747-7116 | 2014-11-24 |
| 1700210218 | Ozlem Tekelioglu | Counselor | 1133 Coloma Way Suite C, Roseville, CA 95661 | 2013-09-03 |
| 1114369816 | Amanda Macmillan | Counselor | 101 Cirby Hills Drive, Roseville, CA 95678 | 2013-07-23 |
| 1316295082 | Pes-ebs.inc. | Counselor | 340 Lincoln St, Roseville, CA 95678-2230 | 2012-08-28 |
| 1023308079 | Jennica Rachel Jenkins | Counselor | 1899 E Roseville Pkwy Ste 140, Roseville, CA 95661-7980 | 2011-04-12 |
| 1154628857 | Kelly Elizabeth Steinbach | Counselor | 1050 Opportunity Dr Ste 160b, Roseville, CA 95678-3030 | 2011-02-16 |
| Find all providers in ROSEVILLE | ||||
Please comment or provide details below to improve the information on RAYMOND RICHARD 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.