Angela R Evans Lacert, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY754 Issued in FL

Practice address

625 6TH Ave S Ste 385
St Petersburg, FL 33701-4665

Phone

(727) 553-7100

Fax

(727) 553-7198

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Ohi West Medical Group, LLC

  • Cardiovascular Disease Physician
  • St Petersburg, FL
  • NPI 1518572551
  Medicare reassignment Care Compare group NPD
• Trina E Espinola MD PA

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • St Petersburg, FL
  • NPI 1598851826
  Medicare reassignment
• Ohi West Medical Group, LLC

  • Radiology Clinic/Center
  • St Petersburg, FL
  • NPI 1285240192
  NPD
• Gulfcoast Ear Nose & Throat Associates PA

  • Otolaryngology Physician
  • Tarpon Springs, FL
  • NPI 1013168822
  NPD (past)
• James W. Adkins, MD PA

  • Specialist
  • Palm Harbor, FL
  • NPI 1972755825
  NPD (past)
• Oto-Logic Support Services, Inc

  • Audiologist
  • St Petersburg, FL
  • NPI 1457602443
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1508998766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 385",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014665",
            "telephone_number": "727-553-7100",
            "fax_number": "727-553-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 385",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014665",
            "telephone_number": "727-553-7100",
            "fax_number": "727-553-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS LACERT",
        "first_name": "ANGELA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "S00C5",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amarilys Eugelles, PMHNP
• Euphagia LLC
• Sophie Eusebio-Perea, ARNP
• Ev Elite Vehicles, LLC
• Crystal Eva
• Nyitecka S Evans-Burden, CNA
• Bill P Evans, DO
• Corey H Evans, M.D.
• Erika Evans
• Kamya Ladeja Evans

• Audiologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.