Active NPI
Evan Sumner, AU.D.
- Audiologist
- Houston, TX
National Provider Identifier
1336710789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81228
- Practice address
- 2520 WW Thorne Blvd
Houston, TX 77073-3406 - Phone
- (281) 985-6491
- NPI assigned
- Jul 7, 2021
- Last updated
- Jan 5, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 81228 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gemma Wall LLC | Audiologist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.