Jared Matthew Ewald

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

44220 Issued in TX

Practice address

3801 N Capital of Texas Hwy # G-205
Austin, TX 78746-1416

Phone

(512) 617-0993

NPI assigned

Mar 20, 2025

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Highland Park Drug Store Inc

  • Long Term Care Pharmacy
  • Austin, TX
  • NPI 1649410770
  NPD (past)

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1386445955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N CAPITAL OF TEXAS HWY # G-205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461416",
            "telephone_number": "512-617-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N CAPITAL OF TEXAS HWY # G-205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461416",
            "telephone_number": "512-617-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWALD",
        "first_name": "JARED",
        "middle_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "44220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josefine Lampasona Evola, MS, RD
• Evolution Counseling and Wellness Services
• Evolution Wellness
• Evolve Counseling, Consulting, and Coaching PLLC
• Evolve Therapy PLLC
• Alison Reiland Ewen, M.D.
• Cambria Ewing, PT, DPT
• Christopher Anthony Ewing, MD
• Lindsey Ewing
• Manuela Ewing, M.D.

• Student in an Organized Health Care Education/Training Program in Austin, TX
• Providers in Austin, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.