Individual provider Active NPI

Wendy K Evins, AUD

  • Audiologist
  • Jonesboro, AR
National Provider Identifier
1922272210
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A#247 Issued in AR
Practice address
820 E Matthews Ave
Suite a
Jonesboro, AR 72401-3048
Phone
(870) 268-1488
Fax
(870) 268-1613
NPI assigned
Apr 17, 2008
Last updated
Jun 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A#247 AR Primary

Addresses

Primary practice location

820 E Matthews Ave
Suite a
Jonesboro, AR 72401-3048

Mailing address

2510 E Sunset Rd
Suite #5-260
Las Vegas, NV 89120-3511
Phone (702) 798-0113

Other names 1

  • Wendy K. Stickney Former name

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

State licenses

LicenseStateTypeSpecialty
A#247ARMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1922272210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E SUNSET RD",
            "address_2": "SUITE #5-260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203511",
            "telephone_number": "702-798-0113",
            "fax_number": "866-291-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E MATTHEWS AVE",
            "address_2": "SUITE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013048",
            "telephone_number": "870-268-1488",
            "fax_number": "870-268-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVINS",
        "first_name": "WENDY",
        "middle_name": "K",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A#247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "STICKNEY",
            "middle_name": "K.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.