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1538001300 NPI number — ELIZABETH ASHLEY EVANS

NPI Number: 1538001300
Health Care Provider/Practitioner: ELIZABETH ASHLEY EVANS

Information about “1538001300” NPI (ELIZABETH ASHLEY EVANS) exists in 1538001300 in HTML format HTML  |  1538001300 in plain Text format TXT  |  1538001300 in PDF (Portable Document Format) PDF  |  1538001300 in an XML format XML  formats.

NPI Number : 1538001300 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538001300",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EVANS",
    "FirstName": "ELIZABETH ASHLEY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "368 N CLEVELAND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ORANGE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92866-1102",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-387-5061",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "295 REDONDO AVE STE 203",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LONG BEACH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90803-5968",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-427-0355",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/08/2026",
    "LastUpdateDate": "04/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "374K00000X",
          "TaxonomyName": "Religious Nonmedical Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171400000X",
          "TaxonomyName": "Health & Wellness Coach",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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