Evan Mackenzie Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

313 E Peak Blvd
Muskogee, OK 74403-8515

Phone

(918) 683-0273

NPI assigned

Jun 17, 2021

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

Enrolled in OK

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ergonomic Consultants, LLCGroup PAC ID 6901809227, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ergonomic Consultants, LLC

  • Multi-Specialty Clinic/Center
  • McAlester, OK
  • NPI 1922039882
  Medicare reassignment Care Compare group NPD
• Hilldale Public School

  • Local Education Agency (LEA)
  • Muskogee, OK
  • NPI 1356993505
  NPD (past)

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1487222162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E PEAK BLVD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744038515",
            "telephone_number": "918-683-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E PEAK BLVD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744038515",
            "telephone_number": "918-683-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EVAN",
        "middle_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Edward Smiles I
• Melinda Gayle Smiley, REGISTERED DIETITIAN
• Brenda Ilene Smith
• Corrina Smith, RN
• Dakota James Smith
• Jana R. Smith, MD
• Jayna Smith, APRN
• Julie Michelle Smith, M.S., CCC-SLP
• Karla Rae Smith
• Kira Smith

• Speech-Language Pathologist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.