Individual provider Active NPI

Alison Marie Evans, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Wellington, FL
National Provider Identifier
1790910388
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA4155 Issued in FL
Practice address
12773 W. Forest Hill Blvd
Suite 1205
Wellington, FL 33414
Phone
(561) 753-4998
Fax
(561) 753-4911
NPI assigned
May 26, 2009
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA4155 FL Primary

Addresses

Primary practice location

12773 W. Forest Hill Blvd
Suite 1205
Wellington, FL 33414

Mailing address

12773 W. Forest Hill Blvd
Suite 1205
Wellington, FL 33414
Phone (561) 753-4998

Other identifiers 1

IdentifierTypeStateIssuer
000939900MedicaidFL

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Speech and Language Services, LLC Speech-Language Pathologist CurrentSince Oct 30, 2009 Accepting new patients

Locations

12161 Ken Adams Way
Ste 113
Wellington, FL 33414
Phone (561) 358-8043

12773 Forest Hill Blvd
Ste 1205
Wellington, FL 33414
Phone (561) 753-4998

12785 Forest Hill Blvd
Ste 8G
Wellington, FL 33414
Phone (561) 753-4911

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1790910388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12773 W. FOREST HILL BLVD",
            "address_2": "SUITE 1205",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-753-4998",
            "fax_number": "561-753-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12773 W. FOREST HILL BLVD",
            "address_2": "SUITE 1205",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-753-4998",
            "fax_number": "561-753-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ALISON",
        "middle_name": "MARIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000939900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.