DR. AMY E. EVERSOLE M.D. NPI 1760442560

NPI Record

The following NPI record includes the field values provided by the NPPES as well as the field definition as published in the Federal Register. The complete NPI record is also available for download in text, csv and xml formats.

Field Name Field Value Definition 1
NPI 1760442560 The fax number associated with the location address of the provider being identified.
Entity Type Code 1 The date the provider was assigned a unique identifier (assigned an NPI).
Provider Last Name Legal Name EVERSOLE The country code in the location address of the provider being identified.
Provider First Name AMY The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider Middle Name E. The first name of the authorized official.
Provider Name Prefix Text DR. The 10-position telephone number of the authorized official.
Provider Credential Text M.D. The country code in the location address of the provider being identified.
Provider First Line Business Practice Location Address 1001 SE MONTEREY COMMONS BLVD The country code in the location address of the provider being identified.
Provider Second Line Business Practice Location Address SUITE 300 The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address City Name STUART The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Business Practice Location Address State Name FL The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider Business Practice Location Address Postal Code 349963329 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 7722869400 The date that a record was last updated or changed.
Provider Business Practice Location Address Fax Number 7722833832 The fax number associated with the location address of the provider being identified.
Provider Enumeration Date 3/24/2006 The middle name of the authorized official.
Last Update Date 6/1/2023 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Gender Code F The date that a record was last updated or changed.
Healthcare Provider Taxonomy Code 1 207RC0000X Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider License Number 1 ME77045 The code designating the provider's gender if the provider is a person.
Provider License Number State Code 1 FL Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Healthcare Provider Primary Taxonomy Switch 1 Y The State code in the location of the provider being identified.
Is Sole Proprietor N The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
NPI Certification Date 2/17/2023 The date that a record was last updated or changed.

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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