Katelyn Marie Evans, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA16885 Issued in FL

Practice address

1107 Mabbette St
Kissimmee, FL 34741-5161

Phone

(407) 201-8079

NPI assigned

Nov 6, 2012

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)

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.

• Yakety Yak Speech-Language Pathologists, Inc.

  • Speech-Language Pathologist
  • Kissimmee, FL
  • NPI 1376867465
  NPD (past)
• Yakety Yak Speech-Language Pathologists, Inc.

  • Clinic/Center
  • York, SC
  • NPI 1003542374

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1750635140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 BRANCHWATER TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258511",
            "telephone_number": "407-757-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 MABBETTE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415161",
            "telephone_number": "407-201-8079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W State Road 434",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327504986",
            "country_code": "US",
            "telephone_number": "407-271-4911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DEPARTMENT OF HEALTH LICENSE",
            "identifier": "SA16885",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Eustace
• David L. Euwema LMHC, LMHC
• Evan Home Care LLC
• Evan Home Care Services
• Jasmine Patrice Evans, LMHC
• Rhem P Evans
• Everest Rehabilitation Hospital Kissimmee, LLC
• Evernorth Direct Health LLC
• Evernorth Direct Health LLC
• Melvin Charles Evers, OD

• Speech-Language Pathologist in Kissimmee, FL
• Providers in Kissimmee, 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 Apr 2, 2019; 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.