Active NPI
Kayla Kathleen Evans
- Speech-Language Pathologist
- St Augustine, FL
National Provider Identifier
1235790684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9033
- Practice address
- 200 Southpark Blvd
St Augustine, FL 32086-3129 - Phone
- (904) 417-6236
- NPI assigned
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 9033 | FL | Primary |
Addresses
Primary practice location
200 Southpark Blvd
St Augustine, FL 32086-3129
Mailing address
3901 University Blvd S
Jacksonville, FL 32216-4312
Phone (904) 345-7251
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kayla.evans@brooksrehab.org | ||
| Direct Messaging Address | kayla.evans@brooksrehab.org | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9033 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1235790684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164312",
"telephone_number": "904-345-7251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SOUTHPARK BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320863129",
"telephone_number": "904-417-6236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "KAYLA",
"middle_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "9033",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kayla.evans@brooksrehab.org",
"affiliation": "N",
"endpointDescription": "e-mail",
"address_1": "200 Southpark Blvd",
"city": "St Augustine",
"state": "FL",
"country_code": "US",
"postal_code": "320863129",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kayla.evans@brooksrehab.org",
"affiliation": "N",
"endpointDescription": "E-MAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "200 Southpark Blvd",
"city": "St Augustine",
"state": "FL",
"country_code": "US",
"postal_code": "320863129",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.