Gina Latrice Evans, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

34951 Issued in TX

Practice address

8820 Will Clayton Pkwy Ste a
Humble, TX 77338-5836

Phone

(281) 907-8191

NPI assigned

May 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Total Wellness Assessment & Counseling Center PLLC

  • Clinical Psychologist
  • Houston, TX
  • NPI 1619238003

  Clinical Neuropsychologist

  Medicare reassignment NPD Authorized official
• Serenity Health Supplies Inc.

  • Durable Medical Equipment & Medical Supplies
  • Humble, TX
  • NPI 1417268921
  NPD (past)

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1710270574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 WILL CLAYTON PKWY STE A",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385836",
            "telephone_number": "281-907-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 WILL CLAYTON PKWY STE A",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385836",
            "telephone_number": "281-907-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "GINA",
        "middle_name": "LATRICE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "34951",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esteem Plastic Surgery, PLLC
• Flora G Estes, PHARMD RPH
• Jennifer Estrada
• Arnold S Etoua, LCSW
• Erin Farmer Evans, DMD
• Rosa Evans
• Everest Real Estate Investments, LLP
• Everest Real Estate Investments, LLP
• Evergrowth Psychiatry PLLC
• Evergrowth Psychiatry PLLC

• Clinical Neuropsychologist in Humble, TX
• Providers in Humble, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.