Individual provider Active NPI

Evan Sumner, AU.D.

  • Audiologist
  • Houston, TX
National Provider Identifier
1336710789
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81228 Issued in TX
Practice address
2520 WW Thorne Blvd
Houston, TX 77073-3406
Phone
(281) 985-6491
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81228 TX Primary

Addresses

Primary practice location

2520 WW Thorne Blvd
Houston, TX 77073-3406

Mailing address

2443 FM 1488 Rd Apt 4303
Conroe, TX 77384-4944
Phone (620) 482-0079

Other practice location 1

2001 Aldine Bender Rd
Houston, TX 77032-3119
Phone (281) 985-6491

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

LicenseStateTypeSpecialty
81228TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gemma Wall LLC Audiologist PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1336710789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 FM 1488 RD APT 4303",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844944",
            "telephone_number": "620-482-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WW THORNE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770733406",
            "telephone_number": "281-985-6491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Aldine Bender Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770323119",
            "country_code": "US",
            "telephone_number": "281-985-6491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.