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EVERNORTH CARE PROVIDERS - DELAWARE PA
NPI 1790543569
General Practice in Des Moines, IA

Active since March 07, 2024
500 LOCUST ST, DES MOINES, IA 50309(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 02, 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 1790543569) is a healthcare organization registered as a general practice in Des Moines, Iowa and active in the NPI registry since March 2024. The organization lists Jacqueline D Lakes, Senior Paralegal, as its authorized official.

NPPES Registry Identity

NPI1790543569
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS - DELAWARE PA
Location Address500 LOCUST STDes Moines, IA 50309-4104
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Phone(773) 292-4800
Fax(312) 564-4059
Organization SubpartNo
Authorized OfficialJacqueline D LakesSenior Paralegal · (954) 446-0640
Enumeration DateMarch 7, 2024
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1790543569 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
500 LOCUST ST, Des Moines, IA 50309
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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 11

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

MCKENZIE D WOODYARD ARNP
Nurse Practitioner
500 LOCUST ST
DES MOINES, IA 50309
Polk County (515) 805-0956
FLOWSTATE HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
500 LOCUST ST
DES MOINES, IA 50309
Polk County (515) 805-0956
JADE HOWSER LMSW
Social Worker
500 LOCUST ST, PMB 126
DES MOINES, IA 50309
Polk County (515) 805-0956
ANDREA BLUNCK LISW
Social Worker (Clinical)
500 LOCUST ST, PMB 126
DES MOINES, IA 50309
Polk County (515) 710-7894
BARAKA BEHAVIORAL HEALTH
Nurse Practitioner (Psychiatric/Mental Health)
500 LOCUST ST
DES MOINES, IA 50309
Polk County (612) 987-8717
STEVEN SLYE
Specialist
500 LOCUST ST, STE 126
DES MOINES, IA 50309
Polk County (515) 868-7593
WANAS GROUP LLC
Home Health
500 LOCUST ST
DES MOINES, IA 50309
Polk County (646) 544-6156
DR. BRENDA LEE HOSKINS-MEIN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
500 LOCUST ST
DES MOINES, IA 50309
Polk County (515) 805-0956

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 1790543569. It was assigned to this organization in the NPPES registry on March 7, 2024.

Where is Evernorth Care Providers - Delaware PA located?

Evernorth Care Providers - Delaware PA is located at 500 Locust St, Des Moines, IA 50309. 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.