Evolve Foot and Woundcare

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

EVOLVE FOOT AND WOUNDCARE

Practice address

27 Hospital Ave Ste 301
Danbury, CT 06810-5954

Phone

(619) 602-9947

NPI assigned

Oct 24, 2022

Last updated

Oct 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shanique Bingham, DPMNPI 1376925370

Title

Owner

Phone

(619) 602-9947

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shanique Bingham, DPM

  • Podiatrist
  • New Haven, CT
  • NPI 1376925370
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1679290324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HOSPITAL AVE STE 301",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105954",
            "telephone_number": "619-602-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HOSPITAL AVE STE 301",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105954",
            "telephone_number": "619-602-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE FOOT AND WOUNDCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "SHANIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-602-9947",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacques Edouard Etienne, M.D., F.A.A.P
• Joyce Lynn Eum
• Everbless Solutions LLC
• Todd Everett, MD
• Evolution Chiropractic, LLC
• Angela Fabian
• Ava Fabian, PA-C
• Face the Fight With Faith
• Daniel Facer
• Catherine Ann Failla, LCSW

• Podiatrist in Danbury, CT
• Providers in Danbury, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.