Individual provider Active NPI

Evelyn Witte

  • Speech-Language Pathologist
  • Lander, WY
National Provider Identifier
1336010446
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SPCFY-1450 Issued in WY
Practice address
535 E Main St Ste F
Lander, WY 82520-3424
Phone
(307) 429-0837
Fax
(307) 215-1512
NPI assigned
Sep 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SPCFY-1450 WY Primary

Addresses

Primary practice location

535 E Main St Ste F
Lander, WY 82520-3424

Mailing address

13 Chukkar LN
Sheridan, WY 82801-9506
Phone (307) 429-0837

Other practice location 1

345 S Linden Ave
Sheridan, WY 82801-4709
Phone (307) 429-0837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029000763 WY Practitioner - Qualified Speech Language Pathologist 0749779981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Tennessee, HSC, College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connect Speech Therapy LLCGroup PAC ID 1355732348, 3 clinicians

Practice addresses (Care Compare)

535 E Main St
Suite F
Lander, WY 82520-3424
Phone (307) 429-0837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SPCFY-1450WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Speech Therapy LLC Speech-Language Pathologist CurrentSince Oct 16, 2025 Accepting new patients
One Hole Too Many LLC Past Accepting new patients

Locations

535 E Main St
Ste F
Lander, WY 82520
Phone (307) 429-0837

345 S Linden Ave
Sheridan, WY 82801
Phone (307) 672-6610

1981 Double Eagle Dr
Ste A
Sheridan, WY 82801
Phone (307) 751-3076

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1757721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1336010446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CHUKKAR LN",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828019506",
            "telephone_number": "307-429-0837",
            "fax_number": "307-215-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E MAIN ST STE F",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203424",
            "telephone_number": "307-429-0837",
            "fax_number": "307-215-1512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 S Linden Ave",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828014709",
            "country_code": "US",
            "telephone_number": "307-429-0837",
            "fax_number": "307-215-1512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTE",
        "first_name": "EVELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-13",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SPCFY-1450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.