Active NPI
Evolution Joint Pain Clinic
- Naturopath
- Eagle, ID
National Provider Identifier
1932871985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- Legal business name
- EVOLUTION JOINT PAIN CLINIC
- Practice address
- 951 E Plaza Dr Ste 170
Eagle, ID 83616-6569 - Phone
- (208) 917-2928
- NPI assigned
- Sep 29, 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
- Jeremy Lamont Payne, ND, DC
- Title
- Member
- Phone
- (208) 917-2928
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Naturopath | 175F00000X | Primary | ||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
951 E Plaza Dr Ste 170
Eagle, ID 83616-6569
Mailing address
951 E Plaza Dr Ste 170
Eagle, ID 83616-6569
Phone (208) 917-2928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220218000568 | ID | Part B Supplier - Clinic/Group Practice | 0547654469 |
Receives reassigned benefits from 2 practitioners Practice locations: Eagle, ID |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1632873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1932871985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 E PLAZA DR STE 170",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166569",
"telephone_number": "208-917-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 E PLAZA DR STE 170",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166569",
"telephone_number": "208-917-2928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLUTION JOINT PAIN CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-29",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "LAMONT",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "208-917-2928",
"authorized_official_credential": "ND, DC"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.