EVOLVE HEALTH PARTNERS NPI 1831834969

NPI Information

  • NPI: 1831834969
  • Provider Name: EVOLVE HEALTH PARTNERS
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • CLIA Number: 21D2282133
  • Address: 2528 MOUNTAIN RD STE 101
    PASADENA, MD
    ZIP 21122
  • Phone: (443) 798-7778

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NPI Details

EVOLVE HEALTH PARTNERS is an adult health nurse practitioner in Pasadena, MD. EVOLVE HEALTH PARTNERS NPI is 1831834969. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2528 MOUNTAIN RD STE 101
PASADENA, MD
ZIP 21122-202
Phone: (443) 798-7778
Fax: (410) 360-1675

The provider's authorized official is Jessie Costley .
The authorized official title is Administrator and has the following contact phone number (443) 548-3733.

The CLIA number assigned to this NPI record is 21D2282133 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2022 and was last updated on 9/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1317219800MEDICAIDMARYLAND

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: 3/30/2025

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