Active NPI
Evolve Wellness LLC
- Psychiatry Physician
- Las Vegas, NV
National Provider Identifier
1699406769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- EVOLVE WELLNESS LLC
- Practice address
- 3430 E Flamingo Rd Ste 309
Las Vegas, NV 89121-5066 - Phone
- (725) 204-2578
- NPI assigned
- Jun 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madeleine Navarro Diaz
- Title
- Owner
- Phone
- (725) 204-2578
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
3430 E Flamingo Rd Ste 309
Las Vegas, NV 89121-5066
Mailing address
3430 E Flamingo Rd Ste 309
Las Vegas, NV 89121-5066
Phone (702) 427-9040
National Provider Directory
National Provider Directory- Tax ID family
- Evolve Wellness LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
- NPI 1972226231
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Care Attendant
- Las Vegas, NV
- NPI 1962157123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684713600000",
"number": "1699406769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 E FLAMINGO RD STE 309",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215066",
"telephone_number": "702-427-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 E FLAMINGO RD STE 309",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215066",
"telephone_number": "725-204-2578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-20",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A",
"authorized_official_last_name": "NAVARRO DIAZ",
"authorized_official_first_name": "MADELEINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "725-204-2578"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
- Evolve and Heal Wellness Center
- Evolve Counseling and Learning Enrichment Center, LLC
- Evolve Health NV Carter PLLC
- Evolve Pelvic PT LLC
- Evolve Resource Management
- Evolve Wellness LLC
- Evolve Wellness Professional Corp
- Evolving Minds Behavioral Health Services
- Evolving Minds Therapy (Emt) LLC
- Samuel Ewalefo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.