Organization Active NPI

Evolution LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1437711041
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EVOLUTION LLC
Practice address
8358 W Rochelle Ave
Las Vegas, NV 89147-6142
Phone
(702) 517-1519
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Raelara Tilden, LMFT
Title
Director
Phone
(702) 517-1519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8358 W Rochelle Ave
Las Vegas, NV 89147-6142

Mailing address

8358 W Rochelle Ave
Las Vegas, NV 89147-6142
Phone (702) 517-1519

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ConnectURL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1437711041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8358 W ROCHELLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476142",
            "telephone_number": "702-517-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8358 W ROCHELLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476142",
            "telephone_number": "702-517-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "TILDEN",
        "authorized_official_first_name": "RAELARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-517-1519",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ConnectURL",
            "affiliation": "N",
            "address_1": "8358 W Rochelle Ave",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891476142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.