Evan Todd, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9128 Issued in LA

Practice address

3105 18TH St
Metairie, LA 70002-4904

Phone

(504) 866-6990

NPI assigned

Mar 8, 2023

Sex

Male

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)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Crane Rehab Center

  • Occupational Therapist
  • Metairie, LA
  • NPI 1649517723
  NPD
• Crane Rehab Center LLC

  • Physical Therapist
  • New Orleans, LA
  • NPI 1457860777
  NPD (past)
• Crane Rehab Center LLC

  • Behavior Analyst
  • New Orleans, LA
  • NPI 1861954893

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1124728985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 MAGAZINE ST FRNT PMB 151",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 18TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024904",
            "telephone_number": "504-866-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "EVAN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "9128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J Leach OD a Professional Optometrist Corporation
• Tytiana Tinson
• Kyla Tisdale
• TLC Therapeutic Healing LLC
• Grant William Tobin, PLPC
• Jacob Todd
• Laceyann Budenski Toepfer, MCD, CCC-SLP, L-SLP
• Lori Toledano
• Brittany Tolliver
• Jean Ann Tolmas, MD

• Speech-Language Pathologist in Metairie, LA
• Providers in Metairie, LA by specialty
• Speech-Language Pathologist in Louisiana

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

Verify at the official NPI Registry.