Individual provider Active NPI

Elizabeth Evans, MS, CF-SLP

  • Speech-Language Pathologist
  • Redmond, OR
National Provider Identifier
1538736392
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17140 Issued in OR
Practice address
326 SW 7TH St
Redmond, OR 97756-2205
Phone
(541) 668-6081
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 17140 OR Primary

Addresses

Primary practice location

326 SW 7TH St
Redmond, OR 97756-2205

Mailing address

1010 Vilas Ave Apt 1
Madison, WI 53715-1512

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.evans@redmondspeech.com

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
17140ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Redmond Speech & Language Total Communication Services, LLC Speech-Language Pathologist CurrentSince Jun 15, 2021 Accepting new patients

Locations

326 SW 7th St
Redmond, OR 97756
Phone (541) 316-8004

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1538736392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 VILAS AVE APT 1",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SW 7TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562205",
            "telephone_number": "541-668-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ELIZABETH",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.evans@redmondspeech.com",
            "affiliation": "N",
            "address_1": "326 SW 7th St",
            "city": "Redmond",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977562205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.