Organization Active NPI

Evolution Joint Pain Clinic

  • Naturopath
  • Eagle, ID
National Provider Identifier
1932871985
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
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

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Jeremy Lamont Payne, ND, DCNPI 1427213693
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)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20220218000568 ID Part B Supplier - Clinic/Group Practice 0547654469 Receives reassigned benefits from 2 practitioners
Practice locations: Eagle, ID

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.