Individual provider Active NPI

Victoria Leigh Evans

  • Speech-Language Pathologist
  • Columbus, OH
National Provider Identifier
1609304583
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12958 Issued in OH
Practice address
30 Northwoods Blvd
Columbus, OH 43235-4716
Phone
(614) 545-8300
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 12958 OH Primary

Addresses

Primary practice location

30 Northwoods Blvd
Columbus, OH 43235-4716

Mailing address

30 Northwoods Blvd
Columbus, OH 43235-4716
Phone (614) 545-8300

Other practice location 1

1902 Benjamin St
Nashville, TN 37206-2402
Phone (361) 331-0117

Other names 1

  • Victoria Leigh Garza Former name

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

LicenseStateTypeSpecialty
12958OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Integrated Therapy, LLC Speech-Language Pathologist PastSince Apr 11, 2021 Accepting new patients

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1609304583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NORTHWOODS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354716",
            "telephone_number": "614-545-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTHWOODS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354716",
            "telephone_number": "614-545-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 Benjamin St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372062402",
            "country_code": "US",
            "telephone_number": "361-331-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "VICTORIA",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "12958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "GARZA",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.