KELLY R EVERMAN M.D., NPI 1730181090
Ophthalmology in NASHVILLE, TN
Last Updated on : Mar 23,2017
About KELLY R EVERMAN (NPI 1730181090)
KELLY R EVERMAN is an Ophthalmology provider in NASHVILLE, United States. His medical specialization is Ophthalmology with a focus in Ophthalmic Plastic and Reconstructive Surgery.
1730181090 is NPI number of KELLY R EVERMAN.
KELLY R EVERMAN's primary taxonomy code based on NPI Lookup is 207WX0200X with license number MD48847. This taxonomy code refers to Ophthalmology.
KELLY R EVERMAN has more than 17 years of experience.
KELLY R EVERMAN current practice location address is 1800 CHURCH ST, NASHVILLE, TN. KELLY R EVERMAN can be reached out via phone at 615-329-3624 and via fax at 615-329-0639 .
You can also correspond with KELLY R EVERMAN through mail at mailing address 1800 CHURCH ST, NASHVILLE, TN, United States. Mailing address contact number is 615-329-3624.
The enumeration date of KELLY R EVERMAN is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 6 years ago.1730181090 NPI Information
Basic NPI information of KELLY R EVERMAN (NPI 1730181090) is provided below.
| Name | KELLY R EVERMAN |
|---|---|
| National Provider Id (NPI) | 1730181090 |
| Entity Type | Individual |
| Gender | M |
| Credential | M.D. |
| Practice Address | 1800 CHURCH ST,
SUITE 100
NASHVILLE, TN, United States |
| Practice Telephone | 615-329-3624 |
| Practice Fax Number | 615-329-0639 |
| Mailing Address | 1800 CHURCH ST ,
SUITE 100
NASHVILLE, TN, United States |
| Mailing Telephone | 615-329-3624 |
| Mailing Fax Number | 615-329-0639 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 23-Mar-2017 |
KELLY R EVERMAN (NPI 1730181090) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207WX0200X | Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | MD48847 | TN |
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
KELLY R EVERMAN (NPI 1730181090) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD48847 | TN |
| N | 207WX0200X | Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | 38136 | KY |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1529953 | MEDICAID (05) | TN | |
| 3721364 | MEDICARE PIN (08) | TN | |
| 64071517 | MEDICAID (05) | KY |
KELLY R EVERMAN (NPI 1730181090) Office Location
Office location of KELLY R EVERMAN is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1588137517 | ROSE FELICIA MATTHEWS | Occupational Therapy Assistant | PO BOX 253,
NASHVILLE, AR, United States |
02-Jan-2019 |
| 1356886121 | BRENDA ARCHER-CRABTREE | Case Manager/Care Coordinator | 508 N 2ND ST,
NASHVILLE, AR, United States |
03-Jan-2017 |
| 1073935276 | ADAM HEATH RIDER | Occupational Therapy Assistant | 22 SOUTHPARK SHOPPING CTR,
NASHVILLE, AR, United States |
08-Jan-2014 |
| 1174673701 | KRISTEN JOHNSON-MCJUNKINS | Speech-Language Pathologist, | 313 DEERWOOD LN,
NASHVILLE, AR, United States |
12-Jan-2007 |
| 1659760635 | MICHAEL ANDREW TROUTT | Nurse Practitioner, Family | 1703 MOUNT PLEASANT DR,
NASHVILLE, AR, United States |
14-Jan-2015 |
| 1740331917 | V GLENN LANCE | Dentist, General Practice | 700 N MAIN ST STE 1,
NASHVILLE, AR, United States |
15-Jan-2007 |
| 1487925897 | EBONY L RHODES | Occupational Therapist, Physical Rehabilitation | 1312 MYRNA LN,
NORTH LITTLE ROCK, AR, United States |
16-Jan-2012 |
| 1093795379 | RICK A BELL | Optometrist | 708 S MAIN ST,
NASHVILLE, AR, United States |
20-Jan-2006 |
| 1780736538 | NASHVILLE SCHOOL DISTRICT | Local Education Agency (LEA) | 600 N 4TH ST,
NASHVILLE, AR, United States |
18-Jan-2007 |
| 1578617791 | HOWARD MEMORIAL HOSPITAL | Medicare Defined Swing Bed Unit | 130 MEDICAL CIRCLE,
NASHVILLE, AR, United States |
23-Jan-2007 |
| 1093047722 | WHITNEY RACHEL SULLIVAN | Specialist/Technologist, Athletic Trainer | 221 N. 10TH,
DE QUEEN, AR, United States |
05-Feb-2010 |
| 1700923612 | RONNIE LEE EAST | Physical Therapy Assistant | 1321 PARK ST,
NASHVILLE, AR, United States |
31-Jan-2007 |
| 1427596691 | LESLIE ACKLEY | Registered Nurse | 144 SWEET HOME RD,
NASHVILLE, AR, United States |
07-Feb-2017 |
| 1427022128 | CALISTA E. SNOW | Physical Therapist | 22 SOUTHPARK SHOPPING CTR,
NASHVILLE, AR, United States |
17-Feb-2006 |
| 1114060589 | HEATHER D POWELL | Pharmacy Technician | 15 DUSTY LN,
NEWHOPE, AR, United States |
15-Feb-2007 |
| 1477528214 | STEPHANIE DILDINE | Occupational Therapist | 22 SOUTHPARK SHOPPING CTR,
NASHVILLE, AR, United States |
22-Feb-2006 |
| 1700851110 | JANE A. WATTS | Occupational Therapist | 22 SOUTHPARK SHOPPING CTR,
NASHVILLE, AR, United States |
20-Feb-2006 |
| 1639539687 | REGAN CARLTON | Occupational Therapy Assistant | 140 CATHINE LANE,
NASHVILLE, AR, United States |
03-Mar-2016 |
| 1306015235 | FELICIA DENISE BROWN | Case Manager/Care Coordinator | 1575 HIGHWAY 371 W,
NASHVILLE, AR, United States |
25-Feb-2008 |
| 1619003225 | DONALD SITZES | Dentist, General Practice | 121 W HOWARD ST,
NASHVILLE, AR, United States |
26-Feb-2007 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1730181090?1730181090 is the NPI number of KELLY R EVERMAN.
What is the specialty for KELLY R EVERMAN?The Specialty of KELLY R EVERMAN is Ophthalmology.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|