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EVOLUTION PRIMARY CARE
NPI 1487471215
Nurse Practitioner - Family in Owensboro, KY

Active since September 23, 2024CLIA 18D2316448 · Waiver
920 FREDERICA ST STE 104, OWENSBORO, KY 42301(270) 238-6468(270) 702-7184 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evolution Primary Care NPPES

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

EVOLUTION PRIMARY CARE (NPI 1487471215) is a healthcare organization registered as a family in Owensboro, Kentucky and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Jamie Durham, Owner/aprn, as its authorized official.

NPPES Registry Identity

NPI1487471215
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEVOLUTION PRIMARY CARE
Location Address920 FREDERICA ST STE 104Owensboro, KY 42301-3076
Mailing Address920 Frederica St Ste 104Owensboro, KY 42301-3076 · (270) 238-6468 · Fax (270) 702-7184
Phone(270) 238-6468
Fax(270) 702-7184
Organization SubpartNo
Authorized OfficialJamie DurhamOwner/aprn · (270) 238-6468
Enumeration DateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
✔ NPI 1487471215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
920 FREDERICA ST STE 104, Owensboro, KY 42301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 18D2316448

Evolution Primary Care · Owensboro, KY
Active · expires Jan 5, 2027
CLIA Number18D2316448
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorJamie E. Durham
Laboratory Phone(270) 238-6468
Laboratory LocationEvolution Primary Care1102 Triplett St Suite 2100, Owensboro, KY 42303
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

THE FUNCTIONAL FAMILY PRIMARY CARE
Nurse Practitioner (Family)
920 FREDERICA ST STE 104
OWENSBORO, KY 42301
Daviess County (270) 238-6468
ANGELA KAY GLAHN PT
Specialist
920 FREDERICA ST STE 104
OWENSBORO, KY 42301
Daviess County (270) 689-2341
BRITTANY MATTINGLY
Nurse Practitioner (Family)
920 FREDERICA ST STE 104
OWENSBORO, KY 42301
Daviess County (270) 238-6468
DRIPPY HIPPY LLC
Nurse Practitioner (Family)
920 FREDERICA ST STE 104
OWENSBORO, KY 42301
Daviess County (270) 238-6468
YOUR PHYSICAL THERAPY SOLUTIONS,LLC
Physical Therapist
920 FREDERICA ST STE 104
OWENSBORO, KY 42301
Daviess County (270) 689-2341

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 Evolution Primary Care's NPI number?

The NPI number for Evolution Primary Care is 1487471215. It was assigned to this organization in the NPPES registry on September 23, 2024.

Where is Evolution Primary Care located?

Evolution Primary Care is located at 920 Frederica St Ste 104, Owensboro, KY 42301. The listed phone number is (270) 238-6468.

What is Evolution Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Evolution Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2316448) is associated with this NPI, valid through January 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evolution Primary Care was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.