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EVERNORTH DIRECT HEALTH LLC
NPI 1528849775
Clinic/Center in Baltimore, MD

Active since October 12, 2023
822 W LAKE AVE, BALTIMORE, MD 21210(623) 277-1190 Get Directions Write a Review

NPPES record last updated: October 12, 2023. 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 1528849775) is a healthcare organization registered as a clinic/center in Baltimore, Maryland and active in the NPI registry since October 2023. The organization lists Deborah Sue Coolidge, Financial Analysis Senior Manager, as its authorized official.

NPPES Registry Identity

NPI1528849775
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERNORTH DIRECT HEALTH LLC
Location Address822 W LAKE AVEBaltimore, MD 21210-1241
Mailing Address8888 E Raintree DrScottsdale, AZ 85260-3951
Phone(623) 277-1190
Organization SubpartYes
Authorized OfficialDeborah Sue CoolidgeFinancial Analysis Senior Manager · (623) 277-1170
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1528849775 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).
822 W LAKE AVE, Baltimore, MD 21210
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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.

CHRISTOPHER MICHAEL KURY LAT, ATC
Specialist/Technologist (Athletic Trainer)
822 W LAKE AVE
BALTIMORE, MD 21210
Baltimore City (410) 377-5192
DR. MICHELE DELL-PRUETT PHD, LAT, ATC
Specialist/Technologist (Athletic Trainer)
822 W LAKE AVE
BALTIMORE, MD 21210
Baltimore City (410) 377-5192
DELANEY O'CONNOR MS, ATC
Specialist/Technologist (Athletic Trainer)
822 W LAKE AVE
BALTIMORE, MD 21210
Baltimore City (252) 367-9180

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 1528849775. It was assigned to this organization in the NPPES registry on October 12, 2023.

Where is Evernorth Direct Health LLC located?

Evernorth Direct Health LLC is located at 822 W Lake Ave, Baltimore, MD 21210. 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.

When was this NPI record last updated?

The NPPES record for Evernorth Direct Health LLC was last updated on October 12, 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.