Active NPI
Evolve Medical LLC
- Family Nurse Practitioner
- Pensacola, FL
National Provider Identifier
1427760800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EVOLVE MEDICAL LLC
- Practice address
- 22 N Tarragona St
Pensacola, FL 32502-6063 - Phone
- (850) 292-6623
- Fax
- (850) 366-1333
- NPI assigned
- Dec 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaitlin Graye, NP
- Title
- Ceo
- Phone
- (850) 207-9086
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
22 N Tarragona St
Pensacola, FL 32502-6063
Mailing address
1716 Donegal Dr
Cantonment, FL 32533-8997
Phone (850) 207-9086
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | evolvemedicalcare@gmail.com | Other |
National Provider Directory
National Provider DirectoryLocations
22 N Tarragona St
Pensacola, FL 32502
Phone (850) 292-6623
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Pensacola, FL
- NPI 1639709835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671408000000",
"number": "1427760800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 DONEGAL DR",
"city": "CANTONMENT",
"state": "FL",
"postal_code": "325338997",
"telephone_number": "850-207-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 N TARRAGONA ST",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325026063",
"telephone_number": "850-292-6623",
"fax_number": "850-366-1333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-17",
"status": "A",
"authorized_official_last_name": "GRAYE",
"authorized_official_first_name": "KAITLIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "850-207-9086",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "evolvemedicalcare@gmail.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "general information",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "22 N Tarragona St",
"city": "Pensacola",
"state": "FL",
"country_code": "US",
"postal_code": "325026063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.