Beverlyn H. Evans, MCD,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3008 Issued in SC

Practice address

104 Talley CT
Anderson, SC 29621-3083

Phone

(864) 617-1952

NPI assigned

Oct 2, 2006

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 names 1

• Beverlyn H. Evans Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1649363441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TALLEY CT",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213083",
            "telephone_number": "864-261-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TALLEY CT",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213083",
            "telephone_number": "864-617-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BEVERLYN",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "MCD,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLYN",
            "last_name": "EVANS",
            "middle_name": "H.",
            "credential": "MCD,CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ekong Ito Eta, MD
• Etas Clinic, P.C.
• Ethos Physical Therapy LLC
• Taia Euceda, DPT
• Evaluation Services LLC
• Crystal C Evans, M.C.D. CC/SLP
• Erin E. Evans
• Hayli Grace Evans, PA-C
• Tara H Evans, FNP
• Teresa P. Evans, LPC #4643

• Speech-Language Pathologist in Anderson, SC
• Providers in Anderson, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.