Organization Active NPI

Evolve Early Intervention

  • Home Health Agency
  • Henderson, KY
National Provider Identifier
1710640388
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EVOLVE EARLY INTERVENTION
Practice address
2480H US 41 N Ste 80
Henderson, KY 42420-2359
Phone
(812) 228-6896
Fax
(270) 212-0271
NPI assigned
Oct 20, 2021
Last updated
Nov 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Mrs. Kasie Ballard, MS, OTR/LNPI 1619228772
Title
Owner/Occupational Therapist
Phone
(812) 228-6896

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Developmental - Behavioral Pediatrics Physician 2080P0006X
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X
Pediatric Physical Therapist 2251P0200X
Pediatric Occupational Therapist 225XP0200X
Speech-Language Pathologist 235Z00000X
Developmental Therapist 222Q00000X

Addresses

Primary practice location

2480H US 41 N Ste 80
Henderson, KY 42420-2359

Mailing address

4101 Rodenberg Ave
Evansville, IN 47720-6230
Phone (812) 228-6896

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL evolvepeds.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1710640388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 RODENBERG AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477206230",
            "telephone_number": "812-228-6896",
            "fax_number": "270-212-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480H US 41 N STE 80",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202359",
            "telephone_number": "812-228-6896",
            "fax_number": "270-212-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "KASIE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "812-228-6896",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "evolvepeds.com",
            "affiliation": "N",
            "address_1": "2480H US 41 N Ste 80",
            "city": "Henderson",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424202359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.