EVERNORTH CARE PROVIDERS - DELAWARE PA
NPI 1457138182
General Practice in Philadelphia, PA

Active since September 14, 2023
100 N 18TH STREET, SUITE 300, PHILADELPHIA, PA 19103(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: August 09, 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 1457138182) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since September 2023. The organization lists Jacqueline D Lakes, Senior Paralegal, as its authorized official.

NPPES Registry Identity

NPI1457138182
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS - DELAWARE PA
Location Address100 N 18TH STREET, SUITE 300Philadelphia, PA 19103
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Fax(312) 564-4059
Organization SubpartNo
Authorized OfficialJacqueline D LakesSenior Paralegal · (954) 446-0640
Enumeration DateSeptember 14, 2023
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
NPI 1457138182 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
100 N 18TH STREET, Philadelphia, PA 19103

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

Other Providers at the Same Location NPPES 2

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

Home Health
100 N 18TH STREET, SUITE 300
PHILADELPHIA, PA 19103
Nurse Practitioner (Family)
100 N 18TH STREET, SUITE 300
PHILADELPHIA, PA 19103

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 1457138182. It was assigned to this organization in the NPPES registry on September 14, 2023.

Where is Evernorth Care Providers - Delaware PA located?

Evernorth Care Providers - Delaware PA is located at 100 N 18th Street Suite 300, Philadelphia, PA 19103. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.