Stephanie L. Evans, M.S. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8918 Issued in NC

Practice address

4130 Oleander Dr
Wilmington, NC 28403

Phone

(910) 679-8385

NPI assigned

Aug 18, 2008

Last updated

Jan 30, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Speech and Reading Center

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1649626466
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1073769386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 OLDE POND RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116206",
            "telephone_number": "910-262-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-679-8385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3722 Shipyard Blvd",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036188",
            "country_code": "US",
            "telephone_number": "910-343-8988",
            "fax_number": "910-343-4144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "STEPHANIE",
        "middle_name": "L.",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Michele Evans, APRN PMHNP
• Meagan Louise Evans, LCWS
• Pamela Evans, PAMELA EVANS R.PH.
• Phylicia Evans, LCSWA
• Sarah Istvan Evans, FNP-C
• Evergreen Behavioral Management, Inc. (Cardinal House)
• Evergreen Behavioral Management, Inc.
• Hannah Everhart, RBT
• Sarah Parker Everhart, LCSW
• Everybody Swim

• Speech-Language Pathologist in Wilmington, NC
• Providers in Wilmington, 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 Jan 30, 2019; 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.