Katherine Wren Evans, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2011038714 Issued in MO

Practice address

2120 Bryan Valley Commercial Dr
O Fallon, MO 63366-3495

Phone

(636) 240-8096

Fax

(636) 272-4484

NPI assigned

Apr 18, 2012

Last updated

Apr 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Brainworks Pediatric Group LLC

  • Speech-Language Pathologist
  • O'Fallon, MO
  • NPI 1306248794
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1417214255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 BRYAN VALLEY COMMERCIAL DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663495",
            "telephone_number": "636-240-8096",
            "fax_number": "636-272-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 BRYAN VALLEY COMMERCIAL DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633663495",
            "telephone_number": "636-240-8096",
            "fax_number": "636-272-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KATHERINE",
        "middle_name": "WREN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2011038714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Ernst, CRNA
• Heather Kirkman Escobar, D.C.
• Ryan N Espenschied, MA, LPC
• Emma Rose Eubanks, MD
• Delaina Evans, FNP-BC
• Terese W Evans, LPC
• Ever Lasting Life Home Health Care LLC
• Everwell Care Solutions Home Health LLC
• Michael Evetts
• Alyssa Ann Fairchild, CPNP-PC

• Speech-Language Pathologist in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.