Evoyent Health Foundation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EVOYENT HEALTH FOUNDATION

Practice address

201 S Orange Ave Ste 900
Orlando, FL 32801-5008

Phone

(321) 282-1999

NPI assigned

Mar 28, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shana Fair

Title

President

Phone

(321) 282-1999

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1003311267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8297 CHAMPIONS GATE BLVD # 446",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968387",
            "telephone_number": "321-282-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ORANGE AVE STE 900",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328015008",
            "telephone_number": "321-282-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOYENT HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-282-1999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evernorth Direct Health LLC
• Jessica Marie Everson, D.C.
• Everyone'S Counseling Center, Inc.
• Evolution Insight Incorporated
• Evolving Behavioral Support- ABA Therapy
• Duke M Ewan II
• Antainette Ewart
• Christina Burzynski Ewasko, M.D.
• Jeremy Paul Ewbank, PA
• Meredith Ewen, RDN, LD/N

• Primary Care Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.