IndividualActive
Teresa Evan
NPI 1124422597 · Family Nurse Practitioner · Portales, NM
Provider details
- NPI number
- 1124422597
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- AP126422 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1515 W Fir St
Portales, NM 88130-5703
Phone: (575) 356-6695
Fax: (575) 356-5948
Street-level locationGet directions
Mailing address
1515 W Fir St
Portales, NM 88130-5703
Additional practice locations (2)
- 801 Encino Pl Ne Ste C14Albuquerque, NM 87102-2643Phone: (505) 272-1777
- 2323 Texas StPecos, TX 79772-7338Phone: (432) 447-3551Fax: (432) 447-5434
Registry dates
- Enumerated
- 2014-10-14
- Last updated
- 2018-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.