Yolanda T Evans, SPEECH PATHOLOGIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0000001215 Issued in TN

Practice address

3750 Lindell Blvd
13
Saint Louis, MO 63108-3412

Phone

(314) 977-2480

Fax

(314) 977-1615

NPI assigned

Aug 10, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1790796191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56706",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631563706",
            "telephone_number": "901-795-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 LINDELL BLVD",
            "address_2": "13",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083412",
            "telephone_number": "314-977-2480",
            "fax_number": "314-977-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "YOLANDA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "SPEECH PATHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000001215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0000001215",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2008022569",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Evans
• Robert Bryan Evans
• Tara N Evans, MD
• Theresa Michelle Evans
• Timothy Robert Evans, MD
• Jill Kinnison Eveker, PT
• Samuel Eveland, PTA
• Lauren Valeria Evelti
• Jessica Everage
• Evercare LLC

• All providers in Saint Louis, MO
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.