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EVERNORTH DIRECT HEALTH LLC
NPI 1336009380
Clinic/Center in Orlando, FL

Active since November 13, 2025CLIA Certified · 2 labs
6272 LEE VISTA BLVD, ORLANDO, FL 32822(623) 277-1190 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evernorth Direct Health Llc NPPES

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

EVERNORTH DIRECT HEALTH LLC (NPI 1336009380) is a healthcare organization registered as a clinic/center in Orlando, Florida and active in the NPI registry since November 2025. The organization holds 2 active CLIA laboratory certificates and lists Shannon Custer, Chief Operating Officer And Vp, as its authorized official.

NPPES Registry Identity

NPI1336009380
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address6272 LEE VISTA BLVDOrlando, FL 32822-5148
Mailing Address8888 E Raintree DrScottsdale, AZ 85260-3951
Phone(623) 277-1190
Organization SubpartYes
Authorized OfficialShannon CusterChief Operating Officer And Vp · (706) 483-5099
Enumeration DateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1336009380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6272 LEE VISTA BLVD, Orlando, FL 32822
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CLIA Laboratory Certificates CMS CLIA 2

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 10D2339371

Evernorth Direct Health LLC · Orlando, FL
Active · expires Mar 1, 2028
CLIA Number10D2339371
Laboratory TypeOut Patient
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorEileen Sytnyk
Laboratory Phone(480) 868-0646
Laboratory LocationEvernorth Direct Health LLC6272 Lee Vista Blvd Bld Accredo, Orlando, FL 32822
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2323695

Evernorth Direct Health LLC · Orlando, FL
Active · expires May 11, 2027
CLIA Number10D2323695
Laboratory TypeOut Patient
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorEileen Sytnyk
Laboratory Phone(480) 868-0646
Laboratory LocationEvernorth Direct Health LLC6272 Lee Vista Blvd, Orlando, FL 32822
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 11

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

ACCREDO HEALTH GROUP INC
Pharmacy (Specialty Pharmacy)
6272 LEE VISTA BLVD, SUITE 100
ORLANDO, FL 32822
Orange County (407) 852-4903
YOUSSEF SALEEB R.PH.
Pharmacist
6272 LEE VISTA BLVD
ORLANDO, FL 32822
Orange County (888) 773-7376
DR. VANESSA IDALIA KRAJCO PHARMD
Pharmacist
6272 LEE VISTA BLVD
ORLANDO, FL 32822
Orange County (888) 773-7376
AMBER LONG WASHINGTON
Pharmacist
6272 LEE VISTA BLVD
ORLANDO, FL 32822
Orange County (888) 773-7376
CRYSTAL GEORGE PHARMD
Pharmacist
6272 LEE VISTA BLVD
ORLANDO, FL 32822
Orange County (407) 555-5555
DR. SHACARA THOMPSON CURRY PHARMD, MBA
Pharmacist
6272 LEE VISTA BLVD
ORLANDO, FL 32822
Orange County (866) 344-4874
DOMINIQUE JAHNAY ALDERMAN PHARMD
Pharmacist
6272 LEE VISTA BLVD
ORLANDO, FL 32822
Orange County (407) 854-6487
ACCREDO HEALTH GROUP INC
Pharmacy (Mail Order Pharmacy)
6272 LEE VISTA BLVD, SUITE 100
ORLANDO, FL 32822
Orange County (407) 852-4903

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 Direct Health LLC's NPI number?

The NPI number for Evernorth Direct Health LLC is 1336009380. It was assigned to this organization in the NPPES registry on November 13, 2025.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 6272 Lee Vista Blvd, Orlando, FL 32822. The listed phone number is (623) 277-1190.

What is Evernorth Direct Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Evernorth Direct Health LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Evernorth Direct Health LLC was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.