Active NPI
Evolve Health Care, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Gig Harbor, WA
National Provider Identifier
1144990250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- EVOLVE HEALTH CARE, LLC
- Practice address
- 8609 State Route 302 NW
Gig Harbor, WA 98329-9203 - Phone
- (253) 514-3991
- NPI assigned
- Sep 20, 2021
- Last updated
- Sep 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Tefft
- Title
- Owner/Manager
- Phone
- (253) 514-3991
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
8609 State Route 302 NW
Gig Harbor, WA 98329-9203
Mailing address
1309 Coffeen Ave Ste 3723
Sheridan, WY 82801-5777
Phone (253) 514-3991
National Provider Directory
National Provider DirectoryLocations
1309 Coffeen Ave
Ste 3723
Sheridan, WY 82801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632096000000",
"number": "1144990250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 COFFEEN AVE STE 3723",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015777",
"telephone_number": "253-514-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8609 STATE ROUTE 302 NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983299203",
"telephone_number": "253-514-3991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE HEALTH CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A",
"authorized_official_last_name": "TEFFT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "253-514-3991"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.