NPIMap

Organization Active NPI

Evolution Primary Care

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1487471215
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
EVOLUTION PRIMARY CARE
Practice address
920 Frederica St Ste 104
Owensboro, KY 42301-3076
Phone
(270) 238-6468
Fax
(270) 702-7184
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Jamie DurhamNPI 1780216721
Title
Owner/Aprn
Phone
(270) 238-6468

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

920 Frederica St Ste 104
Owensboro, KY 42301-3076

Mailing address

920 Frederica St Ste 104
Owensboro, KY 42301-3076
Phone (270) 238-6468

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1487471215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST STE 104",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013076",
            "telephone_number": "270-238-6468",
            "fax_number": "270-702-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST STE 104",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013076",
            "telephone_number": "270-238-6468",
            "fax_number": "270-702-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "270-238-6468"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.