Jaelyn Monique Evans, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

951 S Ballard Ave
Wylie, TX 75098-4175

Phone

(972) 429-3000

NPI assigned

Jan 27, 2023

Last updated

Nov 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Outlook at Windhaven Forefront Living

  • Physical Therapist
  • Plano, TX
  • NPI 1639912728

  Speech-Language Pathologist

  Medicare reassignment NPD
• Wylie Independent School District

  • Local Education Agency (LEA)
  • Wylie, TX
  • NPI 1760522585
  NPD (past)

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1861108375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 S BALLARD AVE",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984175",
            "telephone_number": "972-429-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 S BALLARD AVE",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984175",
            "telephone_number": "972-429-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JAELYN",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET003495",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "121596",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Espinoza, LPC-INTERN
• Begona Estatuet
• Esther B. Jeong, DDS., PLLC
• Beth Evans
• Beth Ann Evans, D.C.
• Lisa Carol Evans, M.A.
• Excel Medical Billing & Healthcare Services
• Ez Health RCM LLC
• Angela Wallace Fadahunsi, MD
• Nora R Fallon, PA-C

• Speech-Language Pathologist in Wylie, TX
• Providers in Wylie, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.