Sharon Evans, MSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16246 Issued in TX

Practice address

102 E Grand PLZ
Grand Saline, TX 75140-1932

Phone

(903) 962-7901

Fax

(903) 962-3082

NPI assigned

Nov 10, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Ellis Rehabilitation Services, Inc.

  • Rehabilitation Clinic/Center
  • Tyler, TX
  • NPI 1245240365
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740351154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 IBERIA DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037776",
            "telephone_number": "903-581-5526",
            "fax_number": "903-561-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E GRAND PLZ",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401932",
            "telephone_number": "903-962-7901",
            "fax_number": "903-962-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SHARON",
        "credential": "MSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "16246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PAR, BCBS BLUE LINK",
            "identifier": "86753T, 75978",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerome R Crane, PA
• Katherine Dheere, MA-CCC-SLP
• Dierksen Hospice LLC
• East Texas Medical Center Quitman
• Ekklesia Healthcare, L.L.C.
• Juan Jose Fabian, PTA
• Family Medicine Rural Health Clinic
• Katelin Nicole Free
• Grand Saline I S D
• Michael Lee Green, RPH

• Speech-Language Pathologist in Grand Saline, TX
• Providers in Grand Saline, TX by specialty
• Speech-Language Pathologist in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.