Amy Walser Evans

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1840 Issued in NC

Practice address

619A E King St
King, NC 27021-9165

Phone

(336) 608-0555

Fax

(336) 232-9801

NPI assigned

Sep 5, 2018

Last updated

Sep 5, 2018By 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

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.

• Carolina Occupational Therapy Services

  • Pediatric Occupational Therapist
  • King, NC
  • NPI 1407385552
  NPD (past)

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1205318201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 THORNHILL LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619A E KING ST",
            "city": "KING",
            "state": "NC",
            "postal_code": "270219165",
            "telephone_number": "336-608-0555",
            "fax_number": "336-232-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "AMY",
        "middle_name": "WALSER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Agatha Edwards, M.D.
• Noah Ethan Eggers, MS, LCAS-A
• Mackenzie Elliott
• Eboni Malkia Ellis Farabee, M.D.
• Enduracare Acute Care Services LLC
• Brittany Bell Everett, NP-C
• Eyecarecenter OD PA (Eyecare Center)
• Christopher Myrick Fievet
• Emily Marion Fischer, NP-C
• Candice Cain Fix, OD

• Speech-Language Pathologist in King, NC
• Providers in King, 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 Sep 5, 2018; 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.