Active NPI
Ceanne Leslie Evans, CCC-A
- Audiologist
- Spokane, WA
National Provider Identifier
1417124207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD00001357
- Practice address
- 217 W Cataldo Ave
Spokane, WA 99201-2217 - Phone
- (509) 624-2326
- Fax
- (509) 744-3040
- NPI assigned
- May 12, 2008
- 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 | LD00001357 | WA | Primary |
Addresses
Primary practice location
217 W Cataldo Ave
Spokane, WA 99201-2217
Mailing address
PO Box 2242
Spokane, WA 99210-2242
Phone (509) 624-2326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0308031 | Other | WA | LABOR & INDUSTRIES |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1417124207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2242",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992102242",
"telephone_number": "509-624-2326",
"fax_number": "509-744-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 W CATALDO AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012217",
"telephone_number": "509-624-2326",
"fax_number": "509-744-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "CEANNE",
"middle_name": "LESLIE",
"credential": "CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD00001357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0308031",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.