MS. JAELYN MONIQUE EVANS SLP - NPI 1861108375 - Speech-Language Pathologist in Wylie, TX

Q: What is Jaelyn Evans's NPI number?

The NPI number for Jaelyn Evans is 1861108375. It was assigned to this individual provider in the NPPES registry on January 27, 2023.

Q: What is Jaelyn Evans's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaelyn Evans was last updated on November 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Jaelyn Monique Evans Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JAELYN MONIQUE EVANS SLP (NPI 1861108375) is an individual speech-language pathologist provider in Wylie, Texas, licensed in Georgia (PCET003495) and active in the NPI registry since January 2023. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1861108375

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMS. JAELYN MONIQUE EVANSCredential: SLP

Location Address951 S BALLARD AVEWylie, TX 75098-4175

Mailing Address951 S Ballard AveWylie, TX 75098-4175 · (972) 429-3000

Phone(972) 429-3000

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 27, 2023

Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration

NPPES CertifiedNovember 17, 2023

✔ NPI 1861108375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Licenses✔ Licensed in GA · PCET003495✔ Licensed in TX · 121596

Definition

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.

951 S BALLARD AVE, Wylie, TX 75098

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jaelyn Monique Evans Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961907654

PECOS Enrollment IDI20250924001748

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WYLIE INDEPENDENT SCHOOL DISTRICT

Local Education Agency (LEA)