KIMBERLEY ANN EVANS ARNP NPI 1821096124

NPI Information

NPI: 1821096124
Provider Name: KIMBERLEY ANN EVANS, ARNP
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

PECOS Registration: Yes

Address:
540 BAXTER AVE
LOUISVILLE, KY
ZIP 40204
Phone: (502) 587-1744
Get Directions

Kimberley Ann Evans, ARNP is a medical-surgical registered nurse in Louisville, KY. Kimberley Ann Evans, ARNP NPI is 1821096124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

540 BAXTER AVE
LOUISVILLE, KY
ZIP 40204-154
Phone: (502) 587-1744

The NPI 1821096124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0705X	Registered Nurse	Medical-Surgical	1037185	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7753	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	MEDICARE GROUP NUMBER
2	S56808	MEDICARE UPIN	KENTUCKY
3	DB7473	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	RAILROAD MEDICARE GROUP #
4	0775301	MEDICARE PIN	KENTUCKY
5	000000272732	OTHER	KENTUCKY	ANTHEM PIN
6	P00125503	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	RAILROAD MEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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