Individual provider Active NPI

Evelyn Elizabeth Clegg

  • Case Manager/Care Coordinator
  • Orlando, FL
National Provider Identifier
1659670446
Registry record updated Dec 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
934 N Magnolia Ave Ste 327
Orlando, FL 32803-3840
Phone
(407) 496-2192
NPI assigned
Mar 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

934 N Magnolia Ave Ste 327
Orlando, FL 32803-3840

Mailing address

4250 Alafaya TRL Ste 212
Oviedo, FL 32765-9424
Phone (407) 790-4007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Associates, LLC CurrentSince Jun 1, 2021 Accepting new patients
Meridian Associates, LLC CurrentSince Jan 14, 2024 Accepting new patients
Meridian Associates Counseling and Prevention Services, Inc. Clinical Past Accepting new patients

Locations

801 Douglas Ave
Ste 1001
Altamonte Springs, FL 32714
Phone (646) 971-0513

934 N Magnolia Ave
Ste 327
Orlando, FL 32803
Phone (407) 496-2192

200 E Robinson St
Ste 200
Orlando, FL 32801
Phone (407) 285-2110

773 S Kirkman Rd
Ste 119
Orlando, FL 32811
Phone (407) 496-2192

4250 Alafaya Trl
Ste 212
Oviedo, FL 32765
Phone (407) 558-8504

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701561600000",
    "number": "1659670446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 ALAFAYA TRL STE 212",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659424",
            "telephone_number": "407-790-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 N MAGNOLIA AVE STE 327",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033840",
            "telephone_number": "407-496-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEGG",
        "first_name": "EVELYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-20",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; 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.