Individual provider Active NPI

Laura Evak, M.A./CCC-SLP

  • Speech-Language Pathologist
  • Royersford, PA
National Provider Identifier
1386930691
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL007498 Issued in PA
Practice address
541 King Rd
Royersford, PA 19468-1120
Phone
(610) 564-9722
NPI assigned
Jun 24, 2011
Last updated
Jun 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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 SL007498 PA Primary

Addresses

Primary practice location

541 King Rd
Royersford, PA 19468-1120

Mailing address

541 King Rd
Royersford, PA 19468-1120
Phone (610) 564-9722

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SL007498PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1386930691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 KING RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681120",
            "telephone_number": "610-564-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 KING RD",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681120",
            "telephone_number": "610-564-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVAK",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "M.A./CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.