Active NPI
Shannon Evans
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1760858351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1848
- Practice address
- 2560 Montessouri St
Suite 113
Las Vegas, NV 89117-3061 - Phone
- (702) 686-3008
- Fax
- (702) 483-6640
- NPI assigned
- Aug 18, 2015
- 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 | SP-1848 | NV | Primary |
Addresses
Primary practice location
2560 Montessouri St
Suite 113
Las Vegas, NV 89117-3061
Mailing address
2560 Montessouri St
Suite 113
Las Vegas, NV 89117-3061
Phone (702) 686-3008
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 |
|---|---|---|---|
| SP-1848 | NV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Lapres Occupational Therapist | Past | Accepting new patients | |
| Leanne Wright LTD | Speech-Language Pathologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Occupational Therapist
- Las Vegas, NV
- NPI 1225476062
-
- Speech-Language Pathologist
- Las Vegas, NV
- NPI 1023456910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1760858351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 MONTESSOURI ST",
"address_2": "SUITE 113",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891173061",
"telephone_number": "702-686-3008",
"fax_number": "702-483-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 MONTESSOURI ST",
"address_2": "SUITE 113",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891173061",
"telephone_number": "702-686-3008",
"fax_number": "702-483-6640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP-1848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.