Evolve Wellness and Aesthetics PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

EVOLVE WELLNESS AND AESTHETICS PLLC

Practice address

12650 N Beach St Ste 114-946
Fort Worth, TX 76244-4256

Phone

(214) 843-0713

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Shayla Sewell, FNP-C

Title

Owner

Phone

(214) 843-0713

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1942940812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 N BEACH ST STE 114-946",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444256",
            "telephone_number": "214-843-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12650 N BEACH ST STE 114-946",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444256",
            "telephone_number": "214-843-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE WELLNESS AND AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-843-0713",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergrace Hospice, LLC
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• Maximilian Evers, MD
• Evolution Monitoring Services LLC
• Evolution Pain Centers LLC
• Evolving Mind Solutions, LLC
• Mackenzie John Ewart, DO
• Christopher Scott Ewin, M.D.
• Alison Harvey Ewing, APRN, FNP-C
• Beverly Jeanne Ewing, RN, MSN, FNP

• Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.