Active NPI
Lauren Marie Evans, OTD, OTR
- Pediatric Occupational Therapist
- Bellaire, TX
National Provider Identifier
1053017228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 123346
- Practice address
- 4545 Bissonnet St Ste 132
Bellaire, TX 77401-3000 - Phone
- (713) 592-0209
- NPI assigned
- Jan 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 123346 | TX | Primary |
Addresses
Primary practice location
4545 Bissonnet St Ste 132
Bellaire, TX 77401-3000
Mailing address
4545 Bissonnet St Ste 132
Bellaire, TX 77401-3000
Phone (713) 592-0209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123346 | TX | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1053017228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 BISSONNET ST STE 132",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013000",
"telephone_number": "713-592-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 BISSONNET ST STE 132",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774013000",
"telephone_number": "713-592-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "LAUREN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "OTD, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "123346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellaire, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.