Eventide Minitries

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EVENTIDE MINITRIES

Practice address

3003 S Country Club Rd
Suite 277
Tucson, AZ 85713-4082

Phone

(520) 622-0525

NPI assigned

May 5, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Edward Danyfield

Title

Ceo

Phone

(520) 850-4096

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1396979472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 SOUTH COUNTRY CLUB RD.",
            "address_2": "SUITE 277",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85713",
            "telephone_number": "520-622-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 S COUNTRY CLUB RD",
            "address_2": "SUITE 277",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857134082",
            "telephone_number": "520-622-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENTIDE MINITRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "DANYFIELD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-850-4096",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALIST",
            "identifier": "174400000X",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Evans, LCSW
• Shianne Evans, RN
• Sonia Elizabeth Evans, LPC
• Tina Marie Evans, PHARMD
• Christina Evenson, PHARMACY TECHNICIAN
• Cherie L Everett, LICENSED PROFESSIONA
• Evergreen Bio-Tech Inc
• Shawn Everingham Everingham, RDH
• Cassandra Jean Everly, MD
• Evernorth Direct Health LLC

• Specialist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.