NIKIYA SHANTA EVANS LPN NPI 1639893498

NPI Information

  • NPI: 1639893498
  • Provider Name: NIKIYA SHANTA EVANS, LPN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 104 GEORGE BISHOP PKWY
    MYRTLE BEACH, SC
    ZIP 29579
  • Phone: (800) 805-6989

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NPI Details

Nikiya Shanta Evans, LPN is a family nurse practitioner in Myrtle Beach, SC. Nikiya Shanta Evans, LPN NPI is 1639893498. 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:

104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC
ZIP 29579-335
Phone: (800) 805-6989

The enumeration date for this NPI number is 9/26/2022 and was last updated on 12/13/2025.

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
1363LF0000XNurse PractitionerFamilyF12250286SOUTH CAROLINAYes

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: 11/21/2025

NPI Synchronization or Removal

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