Desirae Makiah Chawann Evans

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

395 Issued in OK

Practice address

123 E 6TH St
Okmulgee, OK 74447-4603

Phone

(918) 938-0887

NPI assigned

Feb 10, 2025

Last updated

Feb 10, 2025By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1134934979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 CHOCTAW DR",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744325837",
            "telephone_number": "918-490-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E 6TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474603",
            "telephone_number": "918-938-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DESIRAE",
        "middle_name": "MAKIAH CHAWANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "OK",
            "license": "395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Werner Eckhardt, P.A.-C.
• Sheridan Eldridge
• Angel Ellis, FSP
• Nanelle Emarthla, REGISTERED NURSE
• Emergency Medical Service a Trust
• Melody Lynn Evans, FNP-C
• Tammy Michelle Evans, LPC
• Excel Therapy Specialists, LLC
• Eyecare Associates of South Tulsa PC (Unity Eye Centers Okmulgee)
• Marcus James Fidel, MD

• Speech-Language Assistant in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Speech-Language Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.