EVOLUTION FOUNDATION (NPI# 1215256045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215256045 |
| Entity Type | Organization |
| Organization Name | EVOLUTION FOUNDATION |
| Practice Address |
1620 Ridgecrest Rd Edmond OK 73013-6653 |
| Practice Telephone | 4052037898 |
| Mailing Telephone | 4053300642 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |
| Authorized Official Name | MR. JEFF TALLENT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4052037898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Street Address |
1620 RIDGECREST RD |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-6653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871804310 | Frank Lawrence | Case Manager/Care Coordinator | 1620 Ridgecrest Rd, Edmond, OK 73013-6653 | 2010-06-30 |
| 1396056362 | Jamie Lynn Reed | Case Manager/Care Coordinator | 1620 Ridgecrest Rd, Edmond, OK 73013-6653 | 2010-06-24 |
| 1104146273 | Susan L Lawrence | Case Manager/Care Coordinator | 1620 Ridgecrest Rd, Edmond, OK 73013-6653 | 2010-06-10 |
| 1548580707 | Susan Boehrer | Case Manager/Care Coordinator | 1620 Ridgecrest Rd, Edmond, OK 73013-6653 | 2010-06-10 |
| 1902126709 | Jeff Tallent | Case Manager/Care Coordinator | 1620 Ridgecrest Rd, Edmond, OK 73013-6653 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280422 | William Cedric Towner | Voluntary or Charitable | 5638 East 98th Street, Tulsa, OK 74137-4924 | 2017-08-11 |
| 1700230158 | Joshua Moles | Voluntary or Charitable | 710 N Francis St, Ada, OK 74820-3866 | 2016-04-21 |
| 1447655980 | Safenet Services, Inc. | Voluntary or Charitable | 1219 W Dupont St, Claremore, OK 74017-5318 | 2014-10-27 |
| 1144583170 | National Women In Ag. Association's | Voluntary or Charitable | 1701 N Martin Luther King Ave, Oklahoma City, OK 73111 | 2012-06-25 |
| 1730445768 | Trisha Leach | Voluntary or Charitable | 1411 Nw Lincoln Ave Apt A, Lawton, OK 73507-2906 | 2012-04-04 |
| 1265703342 | Positive Tomorrows, Inc. | Voluntary or Charitable | 1804 N Brauer Ave, Oklahoma City, OK 73106-4225 | 2012-01-20 |
| 1457622540 | Second Chance and Reentry Services, Inc | Voluntary or Charitable | 106 N Bickford Ave, El Reno, OK 73036-2750 | 2012-01-20 |
| 1053682583 | The Homeless Alliance, Inc. | Voluntary or Charitable | 1724 Nw 4th St, Oklahoma City, OK 73106-2609 | 2012-01-13 |
| 1467730952 | Jack C. Montgomery Va Medical Center | Voluntary or Charitable | 102 York Village Dr, Apt 1, Muskogee, OK 74403-4843 | 2011-08-01 |
| 1093027609 | The Exchange Club Center for The Prevention of Child Abuse of Oklahoma | Voluntary or Charitable | 437 Nw 12th St, Oklahoma City, OK 73103-3706 | 2010-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.