Organization Active NPI

Evolve Health and Wellness LLC

Doing business as Evolve Health and Wellness

  • Chiropractor
  • Longmont, CO
National Provider Identifier
1902565518
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EVOLVE HEALTH AND WELLNESS LLC
Doing business as
Evolve Health and Wellness
Practice address
1715 Iron Horse Dr Ste 145
Longmont, CO 80501-9756
Phone
(585) 456-3509
NPI assigned
Dec 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Dr. Nathan J Waara, DCNPI 1265071641
Title
Chiropractor
Phone
(585) 456-3509

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1715 Iron Horse Dr Ste 145
Longmont, CO 80501-9756

Mailing address

1715 Iron Horse Dr Ste 145
Longmont, CO 80501-9756
Phone (585) 456-3509

Other practice location 1

1800 30th St Ste 219
Boulder, CO 80301-1026
Phone (585) 456-3509

Other names 1

  • Evolve Health and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1800 30th St
Ste 219
Boulder, CO 80301
Phone (303) 443-2222

1715 Iron Horse Dr
Ste 145
Longmont, CO 80501
Phone (303) 746-5217

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1902565518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 IRON HORSE DR STE 145",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805019756",
            "telephone_number": "585-456-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 IRON HORSE DR STE 145",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805019756",
            "telephone_number": "585-456-3509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 30th St Ste 219",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803011026",
            "country_code": "US",
            "telephone_number": "585-456-3509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLVE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "WAARA",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "585-456-3509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evolve Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.