Active NPI
Evolve Early Intervention
- Home Health Agency
- Henderson, KY
National Provider Identifier
1710640388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2021
- 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
- Mrs. Kasie Ballard, MS, OTR/L
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | evolvepeds.com |
National Provider Directory
National Provider DirectoryPractitioners & 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.