Organization Active NPI

Evolve Wellness Professional Corp

Doing business as Doc2Door

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1083447676
Registry record updated May 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EVOLVE WELLNESS PROFESSIONAL CORP
Doing business as
Doc2Door
Practice address
3675 Pecos McLeod Ste 700
Las Vegas, NV 89121-3811
Phone
(702) 356-2921
Fax
(702) 356-2922
NPI assigned
Aug 21, 2024
Last updated
May 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2026

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

Authorized official

Name
Daryl Elder Lorenzo Escalona, APRN-CNPNPI 1144750068
Title
Ceo
Phone
(702) 969-4021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

3675 Pecos McLeod Ste 700
Las Vegas, NV 89121-3811

Mailing address

3675 Pecos McLeod Ste 700
Las Vegas, NV 89121-3811
Phone (702) 356-2921

Other practice location 1

6859 S Eastern Ave Ste 103
Las Vegas, NV 89119-0003
Phone (702) 356-2981

Other identifiers 1

IdentifierTypeStateIssuer
250034589MedicaidNV

Other names 1

  • Doc2Door Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250522003233 NV Part B Supplier - Clinic/Group Practice 5193244051 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

3675 Pecos McLeod
Ste 700
Las Vegas, NV 89121
Phone (702) 356-2921

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778371200000",
    "number": "1083447676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 PECOS MCLEOD STE 700",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213811",
            "telephone_number": "702-356-2921",
            "fax_number": "702-356-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 PECOS MCLEOD STE 700",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213811",
            "telephone_number": "702-356-2921",
            "fax_number": "702-356-2922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6859 S Eastern Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891190003",
            "country_code": "US",
            "telephone_number": "702-356-2981",
            "fax_number": "702-356-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLVE WELLNESS PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2026-05-10",
        "certification_date": "2026-05-10",
        "status": "A",
        "authorized_official_last_name": "LORENZO ESCALONA",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "ELDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-969-4021",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250034589",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doc2Door",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.