EVERNORTH DIRECT HEALTH LLC
NPI 1346020567
Clinic/Center in Tampa, FL

Active since October 04, 2023CLIA 10D2297697 · Waiver
601 E KENNEDY BLVD, TAMPA, FL 33602(602) 277-1190 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 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 1346020567) is a healthcare organization registered as a clinic/center in Tampa, Florida and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Deborah Sue Coolidge, Financial Analysis Senior Manager, as its authorized official.

NPPES Registry Identity

NPI1346020567
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address601 E KENNEDY BLVDTampa, FL 33602-4156
Mailing Address8888 E Raintree DrScottsdale, AZ 85260-3951 · (480) 589-6285
Organization SubpartYes
Authorized OfficialDeborah Sue CoolidgeFinancial Analysis Senior Manager · (623) 277-1170
Enumeration DateOctober 4, 2023
NPPES CertifiedOctober 2, 2023
NPI 1346020567 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).
601 E KENNEDY BLVD, Tampa, FL 33602

Other Names 1

Other NameHillsborough County

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 10D2297697

Evernorth Direct Health, LLC · Tampa, FL
Active · expires Jan 18, 2028
CLIA Number10D2297697
Laboratory TypeOutpatient
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorDanielle Faulkner
Laboratory Phone(480) 868-0646
Laboratory LocationEvernorth Direct Health, LLC319 N Pierce St, Tampa, FL 33602
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Case Management
601 E KENNEDY BLVD, AGING SERVICES, 25TH FLOOR
TAMPA, FL 33602
Case Management
601 E KENNEDY BLVD, 25TH FLOOR
TAMPA, FL 33602
Bus
601 E KENNEDY BLVD, 25TH FLOOR
TAMPA, FL 33602

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 1346020567. It was assigned to this organization in the NPPES registry on October 4, 2023. The provider is also known as Hillsborough County.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 601 E Kennedy Blvd, Tampa, FL 33602. The listed phone number is (602) 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2297697) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evernorth Direct Health LLC was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.