Evolving Roots Healthcare-Nursing, Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EVOLVING ROOTS HEALTHCARE-NURSING, INC

Practice address

2500 Old Crow Canyon Rd Ste 505
San Ramon, CA 94583-1623

Phone

(510) 495-6828

NPI assigned

Sep 19, 2026

Organization subpart

No

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

Authorized official

Name

Reginalle Danette Gill, PMHNP-BC

Title

Owner

Phone

(510) 719-9184

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789776000000",
    "number": "1669384236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 OLD CROW CANYON RD STE 505",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831623",
            "telephone_number": "510-495-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 OLD CROW CANYON RD STE 505",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831623",
            "telephone_number": "510-495-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING ROOTS HEALTHCARE-NURSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-19",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "REGINALLE",
        "authorized_official_middle_name": "DANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-719-9184",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.