Organization Active NPI

Evolve Health and Wellness

  • Acupuncturist
  • New York, NY
National Provider Identifier
1306299664
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005245 Issued in NY
Legal business name
EVOLVE HEALTH AND WELLNESS
Doing business as
Evolve Health and Wellness
Practice address
126 5TH Avenue Suite 10B
New York, NY 10011
Phone
(212) 945-7300
Fax
(646) 844-7288
NPI assigned
Jul 21, 2016
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Nini Mai Butler
Title
Ceo/Owner
Phone
(212) 945-7300

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 083759 NY
Chiropractor 111N00000X 70012360 NY
Acupuncturist 171100000X 000704 NY
Acupuncturist 171100000X 003223 NY
Acupuncturist 171100000X 25005313 NY
Acupuncturist 171100000X 005245 NY Primary

Addresses

Primary practice location

126 5TH Avenue Suite 10B
New York, NY 10011

Mailing address

126 5TH Avenue Suite 10B
New York, NY 10011
Phone (212) 945-7300

Other names 1

  • Evolve Health and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

126 5th Ave
Rm 10B
New York, NY 10011
Phone (212) 945-7300

36 Rivington St
New York, NY 10002
Phone (212) 945-7300

Practitioners & affiliated clinicians

Practitioners 4

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": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1306299664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 5TH AVENUE SUITE 10B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-945-7300",
            "fax_number": "646-844-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 5TH AVENUE SUITE 10B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "212-945-7300",
            "fax_number": "646-844-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "NINI",
        "authorized_official_middle_name": "MAI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "212-945-7300"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083759",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70012360",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "000704",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "003223",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25005313",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.