Evergrove Integrative Health PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EVERGROVE INTEGRATIVE HEALTH PLLC

Practice address

3863 E Ellis St
Mesa, AZ 85205-5175

Phone

(806) 928-2188

NPI assigned

Sep 1, 2026

Organization subpart

No

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

Authorized official

Name

Jessica Byrd

Title

Owner

Phone

(806) 928-2188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1851209480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 E ELLIS ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055175",
            "telephone_number": "806-928-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 E ELLIS ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055175",
            "telephone_number": "806-928-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGROVE INTEGRATIVE HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-928-2188"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.