Active NPI
Everside Health, LLC
- Clinic/Center
- Glendale, AZ
National Provider Identifier
1225706989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- EVERSIDE HEALTH, LLC
- Practice address
- 18301 N 79TH Ave Ste 136
Glendale, AZ 85308-8471 - Phone
- (866) 808-6005
- NPI assigned
- Aug 30, 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
- Jill Johnson Patton
- Title
- Director of Risk Management
- Phone
- (704) 936-5546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
18301 N 79TH Ave Ste 136
Glendale, AZ 85308-8471
Mailing address
1400 Wewatta St Ste 350
Denver, CO 80202-5553
National Provider Directory
National Provider Directory- Tax ID family
- Everside Health LLC
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinic/Center
- Phoenix, AZ
- NPI 1225799570
-
- Clinic/Center
- Gilbert, AZ
- NPI 1477221133
Locations
18301 N 79th Ave
Ste 136
Glendale, AZ 85308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1225706989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 WEWATTA ST STE 350",
"city": "DENVER",
"state": "CO",
"postal_code": "802025553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18301 N 79TH AVE STE 136",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088471",
"telephone_number": "866-808-6005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERSIDE HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-30",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "PATTON",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "JOHNSON",
"authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
"authorized_official_telephone_number": "704-936-5546"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.