Active NPI
Amanda Marie Evans, MS
- Speech-Language Pathologist
- Fort Worth, TX
National Provider Identifier
1124983150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 124659
- Practice address
- 4201 Bridgeview Dr
Fort Worth, TX 76109-9571 - Phone
- (817) 369-3092
- NPI assigned
- Dec 22, 2025
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 124659 | TX | Primary |
Addresses
Primary practice location
4201 Bridgeview Dr
Fort Worth, TX 76109-9571
Mailing address
1066 W Magnolia Ave Apt 1237
Fort Worth, TX 76104-4421
Phone (903) 475-3426
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124659 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1124983150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1066 W MAGNOLIA AVE APT 1237",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044421",
"telephone_number": "903-475-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 BRIDGEVIEW DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761099571",
"telephone_number": "817-369-3092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-22",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "124659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.