Active NPI
Evernorth Direct Health LLC
- Clinic/Center
- Chandler, AZ
National Provider Identifier
1053208694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- EVERNORTH DIRECT HEALTH LLC
- Practice address
- 2625 W Geronimo PL
Chandler, AZ 85224-4929 - Phone
- (512) 851-5330
- NPI assigned
- Jun 18, 2025
- Organization subpart
- Yes
- Parent organization
- EVERNORTH DIRECT HEALTH LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Sue Coolidge
- Title
- Financial Analysis Senior Manager
- Phone
- (623) 277-1170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
2625 W Geronimo PL
Chandler, AZ 85224-4929
Mailing address
8888 E Raintree Dr
Scottsdale, AZ 85260-3951
Other names 1
- Cirrus Logic Arizona Family Practice
National Provider Directory
National Provider Directory- Tax ID family
- Evernorth Direct Health LLC
- Part of
- Evernorth Direct Health LLC
Organizations with this tax ID in the same state 2
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinic/Center
- Tucson, AZ
- NPI 1710642848
-
- Clinic/Center
- Chandler, AZ
- NPI 1942866629
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinic/Center
- Tucson, AZ
- NPI 1710642848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1053208694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8888 E RAINTREE DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 W GERONIMO PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244929",
"telephone_number": "512-851-5330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERNORTH DIRECT HEALTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EVERNORTH DIRECT HEALTH LLC",
"enumeration_date": "2025-06-18",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A",
"authorized_official_last_name": "COOLIDGE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "FINANCIAL ANALYSIS SENIOR MANAGER",
"authorized_official_telephone_number": "623-277-1170"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cirrus Logic Arizona Family Practice",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.