Individual provider Active NPI

Evelyn Michelle Weatherbie Lindley, SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1861025702
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
107559 Issued in TX
Practice address
1339 Lamar Square Dr
Austin, TX 78704-2209
Phone
(512) 443-5777
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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 107559 TX Primary

Addresses

Primary practice location

1339 Lamar Square Dr
Austin, TX 78704-2209

Mailing address

10200 Matoca Way
Austin, TX 78726-1378
Phone (512) 576-9990

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

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1861025702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 MATOCA WAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787261378",
            "telephone_number": "512-576-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 LAMAR SQUARE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042209",
            "telephone_number": "512-443-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDLEY",
        "first_name": "EVELYN",
        "middle_name": "MICHELLE WEATHERBIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.