Active NPI
Lani Weymouth Evon, COTA
- Rehabilitation Hospital Unit
- Astoria, NY
National Provider Identifier
1487746277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 006541-1
- Practice address
- 2327 24TH St
Astoria, NY 11105-3414 - Phone
- (917) 439-9916
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 006541-1 | NY | Primary |
Addresses
Primary practice location
2327 24TH St
Astoria, NY 11105-3414
Mailing address
2327 24TH St
Astoria, NY 11105-3414
Phone (718) 932-7816
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006541-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1487746277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2327 24TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111053414",
"telephone_number": "718-932-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2327 24TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111053414",
"telephone_number": "917-439-9916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVON",
"first_name": "LANI",
"middle_name": "WEYMOUTH",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "NY",
"license": "006541-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.