Active NPI
Yvette Evans, SLP
- Speech-Language Pathologist
- Bloomington, IL
National Provider Identifier
1962583781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146006494
- Practice address
- 70 Fedor Cir
Bloomington, IL 61705-5129 - Phone
- (309) 825-9667
- Fax
- (309) 827-7934
- NPI assigned
- Oct 18, 2006
- Last updated
- Jun 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146006494 | IL | Primary |
Addresses
Primary practice location
70 Fedor Cir
Bloomington, IL 61705-5129
Mailing address
70 Fedor Cir
Bloomington, IL 61705-5129
Phone (309) 825-9667
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146006494 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achievement Balance LLC | Speech-Language Pathologist | Past | Accepting new patients |
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": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1962583781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 FEDOR CIR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617055129",
"telephone_number": "309-825-9667",
"fax_number": "309-827-7934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 FEDOR CIR",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617055129",
"telephone_number": "309-825-9667",
"fax_number": "309-827-7934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "YVETTE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146006494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.