Active NPI
Lyndsey Evans
- Speech-Language Pathologist
- Eagle, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-3093
- Practice address
- 935 E Winding Creek Dr Ste 120
Eagle, ID 83616-7242 - Phone
- (208) 938-4748
- Fax
- (208) 938-1710
- NPI assigned
- Aug 10, 2015
- Last updated
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-3093 | ID | Primary |
| Speech-Language Pathologist | 235Z00000X | TSLP-2777 | ID |
Addresses
Primary practice location
935 E Winding Creek Dr Ste 120
Eagle, ID 83616-7242
Mailing address
935 E Winding Creek Dr Ste 120
Eagle, ID 83616-7242
Phone (208) 938-4748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-3093 | ID | MD | Speech-Language Pathologist |
| TSLP-2777 | ID | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boise Speech Tree, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Chatterton Speech Therapy, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
13075 W Persimmon Ln
#120
Boise, ID 83713
Phone (208) 793-7006
8601 W Emerald St
Ste 150
Boise, ID 83704
Phone (208) 321-0634
935 E Winding Creek Dr
Ste 120
Eagle, ID 83616
Phone (208) 938-4748
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Center for Orofacial Myology
- Speech-Language Pathologist
- Boise, ID
- NPI 1932501558
-
- Speech-Language Pathologist
- Boise, ID
- NPI 1689168445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1720464902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 E WINDING CREEK DR STE 120",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167242",
"telephone_number": "208-938-4748",
"fax_number": "208-938-1710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 E WINDING CREEK DR STE 120",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167242",
"telephone_number": "208-938-4748",
"fax_number": "208-938-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "LYNDSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-3093",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "TSLP-2777",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
- Ellison Family Chiropractic
- Gary Craig Ellison, D.C.
- Emp Idaho Nampa, LLC (Saint Alphonsus Neighborhood Hospital Eagle)
- Enhanced Aesthetics and Wellness
- Evan Hathaway DDS PA
- Roger Evenson, LCSW-44535
- Evergreen Psychology & Wellness, LLC
- Evolution Chiropractic and Wellness
- Evolution Joint Pain Clinic
- Eye 2 Eye PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.