1. Home
  2. Directory
  3. Massachusetts
  4. Concord
  5. General Practice
  6. NPI Profile

EVERNORTH CARE PROVIDERS - DELAWARE PA
NPI 1013776970
General Practice in Concord, MA

Active since March 14, 2024
300 BAKER AVE STE 300, CONCORD, MA 01742(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evernorth Care Providers - Delaware Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERNORTH CARE PROVIDERS - DELAWARE PA (NPI 1013776970) is a healthcare organization registered as a general practice in Concord, Massachusetts and active in the NPI registry since March 2024. The organization lists Jacqueline D Lakes, Senior Paralegal, as its authorized official.

NPPES Registry Identity

NPI1013776970
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS - DELAWARE PA
Location Address300 BAKER AVE STE 300Concord, MA 01742-2124
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Phone(773) 292-4800
Fax(312) 564-4059
Organization SubpartNo
Authorized OfficialJacqueline D LakesSenior Paralegal · (954) 446-0640
Enumeration DateMarch 14, 2024
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1013776970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

300 BAKER AVE STE 300, Concord, MA 01742
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2307877

Evernorth Care Providers - Delaware PA · Concord, MA
Expired · Jul 16, 2026
CLIA Number22D2307877
Laboratory TypeIn Home Pcp
Certificate Effective DateJuly 17, 2024
Certificate Expiration DateJuly 16, 2026
Laboratory DirectorShannon Alsop
Laboratory Phone(877) 663-1333
Laboratory LocationEvernorth Care Providers - Delaware PA300 Baker Ave., Suite 300, Concord, MA 01742
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHARON LYNNE CURTIN PMHCNS
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
300 BAKER AVE STE 300
CONCORD, MA 01742
Middlesex County (781) 661-5761
LEAH GINA GOLDENBERG
Social Worker (Clinical)
300 BAKER AVE STE 300
CONCORD, MA 01742
Middlesex County (864) 336-2731
JASHUA M GONZALEZ
Technician (Personal Care Attendant)
300 BAKER AVE STE 300
CONCORD, MA 01742
Middlesex County (857) 381-5559
BRIGHT STEPS ABA CORP
Behavior Analyst
300 BAKER AVE STE 300
CONCORD, MA 01742
Middlesex County (978) 405-3300
DEVON E BEAL NP, CNS
Nurse Practitioner (Psychiatric/Mental Health)
300 BAKER AVE STE 300
CONCORD, MA 01742
Middlesex County (833) 351-8255
INTEGRITY MEDICAL POST ACUTE CARE PLLC
Internal Medicine
300 BAKER AVE STE 300
CONCORD, MA 01742
Middlesex County (248) 303-0257
FAMILYWELL PLLC
Social Worker (Clinical)
300 BAKER AVE STE 300
CONCORD, MA 01742
Middlesex County (864) 336-2731
CRYSTAL L BRANHAM APRN
Nurse Practitioner (Psychiatric/Mental Health)
300 BAKER AVE STE 300
CONCORD, MA 01742
Middlesex County (833) 351-8255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evernorth Care Providers - Delaware PA's NPI number?

The NPI number for Evernorth Care Providers - Delaware PA is 1013776970. It was assigned to this organization in the NPPES registry on March 14, 2024.

Where is Evernorth Care Providers - Delaware PA located?

Evernorth Care Providers - Delaware PA is located at 300 Baker Ave Ste 300, Concord, MA 01742. The listed phone number is (773) 292-4800.

What is Evernorth Care Providers - Delaware PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Evernorth Care Providers - Delaware PA was last updated on July 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.