Evolve Center for Functional Medicine, LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CHR6544 Issued in CO

Legal business name

EVOLVE CENTER FOR FUNCTIONAL MEDICINE, LLC

Practice address

506 W Baseline Rd
Lafayette, CO 80026-1723

Phone

(303) 666-7685

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Marie Hath, D.C.

Title

President

Phone

(303) 666-7685

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1598079758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W BASELINE RD",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261723",
            "telephone_number": "303-666-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W BASELINE RD",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261723",
            "telephone_number": "303-666-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE CENTER FOR FUNCTIONAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "HATH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-666-7685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "CHR6544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheeba Eugene, RDH
• Kelly Euperio, R.D., IBCLC
• Steven Lynn Eurich, D.D.S.
• Taylor Ann Evans, MSN, FNP-C
• Michael F Evers, DO
• Exempla Good Samaritan Medical Center
• Exempla Good Samaritan Outpatient Pharmacy
• Isaiah Faas
• Kelly Jo Fabrizius, SAC
• Jane Heysham Fagan, M.S.

• Nutrition Chiropractor in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Nutrition Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.