Active NPI
Joan E. Evans, AU.D.
- Audiologist
- Ambler, PA
National Provider Identifier
1578709366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT000210L
- Practice address
- 24 Meade Rd
Ambler, PA 19002-5123 - Phone
- (610) 755-9416
- Fax
- (610) 539-7411
- NPI assigned
- Dec 28, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT000210L | PA | Primary |
| Speech-Language Pathologist | 235Z00000X | SL000881L | PA |
Addresses
Primary practice location
24 Meade Rd
Ambler, PA 19002-5123
Mailing address
24 Meade Rd
Ambler, PA 19002-5123
Phone (610) 755-9416
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 |
|---|---|---|---|
| AT000210L | PA | MD | Audiologist |
| SL000881L | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230422400000",
"number": "1578709366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 MEADE RD",
"city": "AMBLER",
"state": "PA",
"postal_code": "190025123",
"telephone_number": "610-755-9416",
"fax_number": "610-539-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MEADE RD",
"city": "AMBLER",
"state": "PA",
"postal_code": "190025123",
"telephone_number": "610-755-9416",
"fax_number": "610-539-7411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JOAN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-28",
"last_updated": "2008-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT000210L",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL000881L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ambler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.