Tosha Lakara Evans, M.ED.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5414 Issued in NC

Practice address

1857 Broadell Dr
Fayetteville, NC 28301-0501

Phone

(910) 213-5900

NPI assigned

Dec 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043379902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 BROADELL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283010501",
            "telephone_number": "910-213-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 BROADELL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283010501",
            "telephone_number": "910-213-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TOSHA",
        "middle_name": "LAKARA",
        "name_prefix": "Ms.",
        "credential": "M.ED.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7410916",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rose Evans
• Michelle Crawford Evans, M.S., CCC/SLP
• Raigan Evans
• Shardae Jillinda Evans
• Sherrena Evans
• Zahanine Evans
• Scott M Everett, D.O.
• Tonetta Everett, MSW, LCSW, LCAS
• Evergreen Behavioral Management, Inc.
• Evergreen Counseling Collective

• Speech-Language Pathologist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.