Jaclyn Marie Evangelista, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP101266 Issued in MA

Practice address

18 Chestnut St Ste 200
Worcester, MA 01608-1557

Phone

(508) 757-2756

NPI assigned

Jul 7, 2025

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

State licenses

Practice roles

Locations

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.

• Easter Seals Massachusetts, Inc.

  • Rehabilitation Clinic/Center
  • Bridgewater, MA
  • NPI 1033386842
  NPD

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1427948934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CENTRAL DR",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721805",
            "telephone_number": "508-468-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CHESTNUT ST STE 200",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081557",
            "telephone_number": "508-757-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTA",
        "first_name": "JACLYN",
        "middle_name": "MARIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP101266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coby Eure, MD
• Eureka Adult Foster Care LLC
• Euro Transportation, LLC
• Justin Eusebio, MSN, RN, PMHNP-BC
• Jessica Brooke Eva
• Evank Home Healthcare Services
• Leah R. Evans Wong, M.D.
• Harmony Evans
• Judith Evans, M.D.
• Paula Evans, RPH

• Speech-Language Pathologist in Worcester, MA
• Providers in Worcester, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.