Evolve Health LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EVOLVE HEALTH LLC

Practice address

1188 Bishop St Ste 1603
Honolulu, HI 96813-3306

Phone

(808) 452-1731

Fax

(808) 452-1741

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Nicole Ryan, FNP,APRN,DNPNPI 1548931769

Title

Aprn

Phone

(808) 452-1731

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Ryan, DNP

  • Family Nurse Practitioner
  • Honolulu, HI
  • NPI 1548931769
  Medicare reassignment Care Compare group NPD Authorized official
• Amy Kaakim Chang, FNP-BC

  • Family Nurse Practitioner
  • Honolulu, HI
  • NPI 1891503058
  Medicare reassignment Care Compare group NPD
• Sheeren Liao Masifi, M.D.

  • Family Medicine Physician
  • Honolulu, HI
  • NPI 1336598184
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1326735929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 1603",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133306",
            "telephone_number": "808-452-1731",
            "fax_number": "808-452-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 1603",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133306",
            "telephone_number": "808-452-1731",
            "fax_number": "808-452-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "808-452-1731",
        "authorized_official_credential": "FNP,APRN,DNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Xenia Ewing, PSYD, MA
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• Excel Spine & Orthopedic Institute LLC
• Exceptional Educators

• Multi-Specialty Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Multi-Specialty Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.