NPIMap

Organization Active NPI

Evolving Healthcare PLC

  • Internal Medicine Physician
  • Prescott, AZ
National Provider Identifier
1275117178
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EVOLVING HEALTHCARE PLC
Practice address
1670 Willow Creek Rd # A182
Prescott, AZ 86301-1112
Phone
(928) 515-0632
NPI assigned
May 7, 2021
Last updated
Sep 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Lesley Wood, MDNPI 1558519231
Title
Owner
Phone
(928) 515-0632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1670 Willow Creek Rd # A182
Prescott, AZ 86301-1112

Mailing address

1670 Willow Creek Rd # A182
Prescott, AZ 86301-1112
Phone (928) 515-0632

National Provider Directory

National Provider Directory

Locations

1670 Willow Creek Rd
#A182
Prescott, AZ 86301
Phone (928) 515-0632

1670 Willow Creek Rd
Ste A182
Prescott, AZ 86301

Practitioners & affiliated clinicians

Practitioners 2

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": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1275117178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 WILLOW CREEK RD # A182",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011112",
            "telephone_number": "928-515-0632",
            "fax_number": "833-992-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 WILLOW CREEK RD # A182",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011112",
            "telephone_number": "928-515-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING HEALTHCARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-515-0632",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

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.

Verify at the official NPI Registry.