Nicole Evans

NPI 1568169894 · on the registry since 2023 · sole proprietor

Practice

Address: 555 Broadhollow Rd
Melville, NY 11747
Phone: (631) 505-2961
Organisation at this address: Revive Medtech Llc
Quad Medical Supplies Llc
Empire State Medi-Cab, Inc.
Lotus Np In Psychiatry Pllc
Monica Jaramillo, Lcsw Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York