Active NPI
Kaylyn Evans, SLP
- Speech-Language Pathologist
- Fort Pierce, FL
National Provider Identifier
1750924619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ9183
- Practice address
- 1801 S 23Rd St Ste 2
Fort Pierce, FL 34950-4830 - Phone
- (772) 464-3303
- Fax
- (772) 464-3305
- NPI assigned
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ9183 | FL | Primary |
Addresses
Primary practice location
1801 S 23Rd St Ste 2
Fort Pierce, FL 34950-4830
Mailing address
1801 S 23Rd St Ste 2
Fort Pierce, FL 34950-4830
Phone (772) 464-3303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ9183 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1750924619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 S 23RD ST STE 2",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504830",
"telephone_number": "772-464-3303",
"fax_number": "772-464-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 S 23RD ST STE 2",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504830",
"telephone_number": "772-464-3303",
"fax_number": "772-464-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "KAYLYN",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ9183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.