Kacie Evans

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

113509 Issued in TX

Practice address

1191 Old Lorena Rd
Lorena, TX 76655-3176

Phone

(817) 914-6670

NPI assigned

Sep 1, 2019

Last updated

Oct 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1033767140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 PURDUE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760125346",
            "telephone_number": "817-914-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 OLD LORENA RD",
            "city": "LORENA",
            "state": "TX",
            "postal_code": "766553176",
            "telephone_number": "817-914-6670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3933 Vista Greens Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762448165",
            "country_code": "US",
            "telephone_number": "817-914-6670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Stoneglen Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762483626",
            "country_code": "US",
            "telephone_number": "817-914-6670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-01",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Lorena, TX
• Providers in Lorena, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.