Evelyn Brito Harter, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

112444 Issued in TX

Practice address

4248 Hercules Rd
Scott Afb, IL 62225-6318

Phone

(432) 559-6863

NPI assigned

Aug 27, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1503792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1790202166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 HERCULES RD",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622256318",
            "telephone_number": "432-559-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 HERCULES RD",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622256318",
            "telephone_number": "432-559-6863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Mission Dr",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781306129",
            "country_code": "US",
            "telephone_number": "830-625-8338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTER",
        "first_name": "EVELYN",
        "middle_name": "BRITO",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-27",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcel L Gustin, PA-C
• Alyssa Rose Hall
• Stefan Christopher Hamelin, M.D.
• David Hammiel, LCSW
• Broc Hammon, D.M.D.
• Relinda Denise Hayes, LCSW
• Deborah Leigh Henry, PA-C
• Seth Heying
• Helen M Horn, WHNP
• Justin C Huang, MD

• All providers in Scott Afb, IL
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.