Jessica E Evans, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA7704 Issued in FL

Practice address

2801 Ponce de Leon Blvd
Coral Gables, FL 33134-6924

Phone

(305) 448-7101

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nurture & Thrive LLC

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1881453868
  Medicare reassignment NPD Authorized official
• Jessica Evans CCC-SLP Inc.

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1225455975
  NPD (past) Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659435964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 S BAYSHORE DR APT 114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346924",
            "telephone_number": "305-448-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Estrin, DO
• Eugenio Rivera DPM PA
• Euro Med Medical Equipment Inc
• Danica Pioquinto Samsin Evans, M.ED
• Ivory Domenque Evans
• Evelyn Lopez-Brignoni MD PA
• Evolution Smiles
• Excellence Wellness Rehab Center Inc
• Excellence Wellness Rehab Center, Inc
• Excellent Quality Mental Health Inc

• Speech-Language Pathologist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.