MR. JEFFREY JOHN EVANS (NPI# 1417107335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417107335 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY JOHN EVANS |
| Credential | M.S., CCC-SLP |
| Practice Address |
11201 Washburn Ave S Bloomington MN 55431-3833 |
| Practice Telephone | 9528887699 |
| Practice Fax Number | 9528887699 |
| Mailing Telephone | 9528887699 |
| Mailing Fax Number | 9528887699 |
| Enumeration Date | 2008-09-27 |
| Last Update Date | 2008-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7275 | MN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA DEPARTMENT OF HEALTH | 7275 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171633 | Jeffrey Evans | Dentist | 4501 Daly Dr Ste 310, Chantilly, VA 20151-3707 | 2020-07-15 |
| 1316102015 | Jeffrey Baird Evans | Dentist | 7525 N. Cedar Ave., Suite 105, Fresno, CA 93720 | 2008-07-22 |
| 1326215245 | Jeffrey Paul Evans | Licensed Practical Nurse | 300 Bremen St, Apt. 8, Rochester, NY 14621-2365 | 2008-05-09 |
| 1053414326 | Jeffrey Neal Evans | Internal Medicine | 2301 South Lamar Blvd Suite 100, 2301 South Lamar Blvd Suite 100, Oxford, MS 38655-0768 | 2006-09-05 |
| 1528047008 | Jeffrey L Evans | Family Medicine | 130 Jefferson Street, Mansfield, LA 71052 | 2006-01-12 |
| 1598245540 | Jeffrey Evans | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2018-08-20 |
| 1962996991 | Jeffrey Allan Evans | Student in an Organized Health Care Education/Training Program | 1313 E Herndon Ave Ste 105, Fresno, CA 93720-3306 | 2018-06-22 |
| 1457899973 | Jeffrey Evans | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2017-02-03 |
| 1801218318 | Jeffrey Evans | Counselor | 1360 Johnson Blvd Ste 103, South Lake Tahoe, CA 96150-8201 | 2014-01-17 |
| 1013255561 | Jeffrey B Evans | Counselor | 1260 H St, Greeley, CO 80631-9115 | 2013-01-17 |
| Street Address |
11201 WASHBURN AVE S |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542067 | Kathleen T Schlais | Speech-Language Pathologist | 605 Bradley Dr Apt C, Bloomington, IL 61701-2244 | 2020-03-10 |
| 1134789936 | Sara Jean Farmer | Speech-Language Pathologist | 2001 S Morris Ave Apt 5, Bloomington, IL 61704-7513 | 2019-06-14 |
| 1538638614 | Erin Elizabeth Gratzer | Speech-Language Pathologist | 963 S State Road 446, Bloomington, IN 47401-8813 | 2018-11-18 |
| 1568944569 | Amy Mammadov | Speech-Language Pathologist | 7 Callahan Ct, Bloomington, IL 61705-1701 | 2018-09-05 |
| 1336620087 | Alycia Leane Carroll | Speech-Language Pathologist | 1605 E Oakland Ave, Bloomington, IL 61701-5617 | 2018-08-21 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1275079089 | Michele Jean Johnson | Speech-Language Pathologist | 3211 Clairbridge Dr, Bloomington, IL 61704-9474 | 2017-01-18 |
| 1245786896 | Jennifer Whitley | Speech-Language Pathologist | 200 S. Jordan Avenue, Bloomington, IN 47405 | 2016-09-01 |
| 1386198778 | Nicole Marie Hartke | Speech-Language Pathologist | 3122 Rudder Ln Apt 105, Bloomington, IL 61704-8203 | 2016-08-15 |
| 1912385394 | Melissa Velazquez | Speech-Language Pathologist | 618 S Bobcat Bnd, Bloomington, IN 47403-8011 | 2015-05-18 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55431 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.