CALVIN CALEB EVANS (NPI# 1992131445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992131445 |
| Entity Type | Individual |
| Full Name | CALVIN CALEB EVANS |
| Credential | FNP-BC |
| Practice Address |
621 Broadway St Portsmouth OH 45662-4788 |
| Mailing Address |
941 Market St Piketon OH 45661-9757 |
| Practice Telephone | 7409614011 |
| Practice Fax Number | 7409614010 |
| Mailing Telephone | 7402892371 |
| Mailing Fax Number | 7402894291 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.327283 | OH | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.15131-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0096547 | 05 | |
| KY | KENTUCKY MEDICAID | 7100317750 | 01 |
| Street Address |
621 BROADWAY ST |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-4788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083669733 | Carolyn L Berry-pettit | Clinical Nurse Specialist | 621 Broadway St, Portsmouth, OH 45662-4788 | 2006-05-23 |
| 1578974929 | Community Action Committee of Pike County | Clinic/Center | 621 Broadway St, Portsmouth, OH 45662-4788 | 2014-05-19 |
| 1790116218 | Community Action Committee of Pike County | Clinic/Center | 621 Broadway St, Portsmouth, OH 45662-4788 | 2013-12-09 |
| 1487942777 | Sarath N. Bachali | Dentist | 621 Broadway St, Portsmouth, OH 45662-4788 | 2011-07-20 |
| 1851609549 | Bridget M Ehrhart-bennett | Nurse Practitioner | 621 Broadway St, Portsmouth, OH 45662-4788 | 2010-09-16 |
| 1215128715 | John Loudermilk | Dentist | 621 Broadway St, Portsmouth, OH 45662-4788 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494695 | Ashlei Parker | Nurse Practitioner | 102 Sawgrass Ln, Portsmouth, VA 23703-2284 | 2020-10-13 |
| 1669082483 | Madeline Rose Grandin | Nurse Practitioner | 238 Miller Ave Apt 2, Portsmouth, NH 03801-2092 | 2020-08-06 |
| 1619597010 | Kelsey Louise Potter | Nurse Practitioner | 1911 High St, Portsmouth, OH 45662-3254 | 2020-04-26 |
| 1144856063 | Sara Cornwell Lundberg | Nurse Practitioner | 29 Dighton Ave, Portsmouth, RI 02871-5512 | 2020-03-23 |
| 1750914800 | Loyette Wong | Nurse Practitioner | 3235 Academy Ave Ste 305, Portsmouth, VA 23703-3200 | 2020-02-18 |
| 1356818876 | Sandie Katrina Elliott | Nurse Practitioner | 1 Crawford Pkwy Ste 1a, Portsmouth, VA 23704-2609 | 2018-11-02 |
| 1023585619 | Winter Marie Mcfarland | Nurse Practitioner | 1701 High St Ste 102, Portsmouth, VA 23704-2395 | 2018-11-01 |
| 1689177503 | Quickcarenp | Nurse Practitioner | 49 Prospect Parkway, Portsmouth, VA 23702 | 2018-03-16 |
| 1649788803 | Ashley Ann Rowland | Nurse Practitioner | 1729 Kinneys Ln Ste 202, Portsmouth, OH 45662-3167 | 2018-01-22 |
| 1508378894 | Caitlin Elizabeth Mullaney | Nurse Practitioner | 330 Borthwick Ave Ste 205, Portsmouth, NH 03801-7109 | 2017-10-26 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
Please comment or provide details below to improve the information on CALVIN CALEB 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.