EVAN ANDERSON (NPI# 1881184679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881184679 |
| Entity Type | Individual |
| Full Name | EVAN ANDERSON |
| Practice Address |
75 Red Gate Trl Canton GA 30115-7525 |
| Mailing Address |
1130 Brenton Dr Nw Kennesaw GA 30144-2761 |
| Practice Telephone | 4046443917 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 009889 | GA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134765159 | Evan Joseph Anderson | Psychologist | 1201 Burleyson Rd, Dalton, GA 30720-3028 | 2019-11-25 |
| 1780105767 | Evan Tullis Anderson | Social Worker | 2825 S Meridian Rd Ste 150, Meridian, ID 83642-7960 | 2017-06-29 |
| 1063804094 | Evan Darwin Anderson | Pharmacist | 1740 Memorial Dr, Waycross, GA 31501-1044 | 2015-02-27 |
| 1538500806 | Evan Tyler Anderson | Behavioral Analyst | 901 N Monroe St, Ste 200, Spokane, WA 99201-2104 | 2013-07-15 |
| 1245675909 | Evan Anderson | Marriage & Family Therapist | 2501 Parkview Dr, 103, Fort Worth, TX 76102-5824 | 2013-05-07 |
| 1427250661 | Evan J Anderson | Internal Medicine | 2015 Uppergate Dr, Atlanta, GA 30322-0001 | 2007-06-01 |
| Street Address |
75 RED GATE TRL |
| City | CANTON |
| State | GA |
| Zip Code | 30115-7525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831698117 | Kristen Elizabeth Mccook | Physical Therapist | 75 Red Gate Trl, Canton, GA 30115-7525 | 2018-02-01 |
| 1659931228 | Gabriella Elizabeth Camacho | Physical Therapist | 75 Red Gate Trl, Canton, GA 30115-7525 | 2019-06-17 |
| 1437640026 | Mayra Mendez-schiaffino | Occupational Therapist | 75 Red Gate Trl, Canton, GA 30115-7525 | 2018-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| 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 |
|---|---|---|---|---|
| 1760096853 | Chelsea Marie Swadling | Speech-Language Pathologist | 5838 Granby Ln, Canton, MI 48187-0047 | 2020-09-04 |
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1255805339 | Patricia Dimaria | Speech-Language Pathologist | 45707 Morningside Dr, Canton, MI 48187-5448 | 2019-01-11 |
| 1497220529 | Sherry Carey | Speech-Language Pathologist | 43511 Cherrywood Ln, Canton, MI 48188-5296 | 2018-10-04 |
| 1184107229 | Christina L Liming | Speech-Language Pathologist | 12875 Cumming Hwy Ste 104, Canton, GA 30115-4885 | 2018-09-14 |
| 1023590700 | Alyssa Louise Miller | Speech-Language Pathologist | 800 Market Ave N # Set1560, Canton, OH 44702-1083 | 2018-08-30 |
| 1265913230 | Megan Kasper | Speech-Language Pathologist | 6879 Kings Mill Dr, Canton, MI 48187-5479 | 2018-08-27 |
| 1194230359 | Amy Jennifer Parnell | Speech-Language Pathologist | 1100 Reinhardt College Pkwy, Canton, GA 30114-2011 | 2017-12-11 |
| 1760901722 | Alayna Marie Chlad | Speech-Language Pathologist | 5138 Susetta Ave Nw, Canton, OH 44709-4878 | 2017-09-11 |
| 1962928101 | Terese Lynn Falk | Speech-Language Pathologist | 700 Old West Vine St, Canton, IL 61520-8754 | 2017-08-18 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on EVAN ANDERSON.
| 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.