Ellen Eversole, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F09200362 Issued in NV

Practice address

1490 W Sunset Rd Ste 120
Henderson, NV 89014-6635

Phone

(855) 955-5428

Fax

(844) 389-0835

NPI assigned

Nov 17, 2022

Last updated

Oct 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Equality Project

  dba Henderson Equality Center

  • Infectious Disease Physician
  • Henderson, NV
  • NPI 1073270773
  Medicare reassignment NPD
• Equality Project

  dba Henderson Wellness Clinic

  • Infectious Disease Physician
  • Henderson, NV
  • NPI 1669350229
  NPD
• Trac-B Exchange LLC

  dba Trac-B xchange

  • Addiction (Substance Use Disorder) Counselor
  • Las Vegas, NV
  • NPI 1194340471
  NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1336858364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 PARISIANS CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890442003",
            "telephone_number": "702-456-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 W SUNSET RD STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146635",
            "telephone_number": "855-955-5428",
            "fax_number": "844-389-0835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6114 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891461127",
            "country_code": "US",
            "telephone_number": "702-840-6693",
            "fax_number": "844-389-0835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Regency Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895093423",
            "country_code": "US",
            "telephone_number": "855-955-5428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 Civic Center Dr Ste 136",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890306305",
            "country_code": "US",
            "telephone_number": "855-955-5428",
            "fax_number": "844-389-0835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERSOLE",
        "first_name": "ELLEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "F09200362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everside Health LLC (Teamsters Local 14 with MH Family WC Yellow)
• Everside Health Local 14 Henderson Dispensing
• Everside Health, LLC
• Everside Health, LLC (Teamsters Local 14 with Marathon Health Family Wellness Center - Henderson)
• Everside Health, LLC
• Galen Mark Eversole, M.D.
• Every's Elite Home Care LLC
• Evolved Worldwide, LLC
• Emily Marie Ewing
• Yolanda Marcell Ewing

• Family Nurse Practitioner in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.