Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EVERGROVE INTEGRATIVE HEALTH PLLC
NPI 1851209480
Nurse Practitioner - Family in Mesa, AZ

Active since September 01, 2026
3863 E ELLIS ST, MESA, AZ 85205(806) 928-2188 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Evergrove Integrative Health Pllc NPPES

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

EVERGROVE INTEGRATIVE HEALTH PLLC (NPI 1851209480) is a healthcare organization registered as a family in Mesa, Arizona and active in the NPI registry since September 2026. The organization lists Jessica Byrd, Owner, as its authorized official.

NPPES Registry Identity

NPI1851209480
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEVERGROVE INTEGRATIVE HEALTH PLLC
Location Address3863 E ELLIS STMesa, AZ 85205-5175
Mailing Address3863 E Ellis StMesa, AZ 85205-5175 · (806) 928-2188
Organization SubpartNo
Authorized OfficialJessica ByrdOwner · (806) 928-2188
Enumeration DateSeptember 1, 2026
NPPES CertifiedSeptember 1, 2026
NPI 1851209480 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
3863 E ELLIS ST, Mesa, AZ 85205

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

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 Evergrove Integrative Health PLLC's NPI number?

The NPI number for Evergrove Integrative Health PLLC is 1851209480. It was assigned to this organization in the NPPES registry on September 1, 2026.

Where is Evergrove Integrative Health PLLC located?

Evergrove Integrative Health PLLC is located at 3863 E Ellis St, Mesa, AZ 85205. The listed phone number is (806) 928-2188.

What is Evergrove Integrative Health PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Evergrove Integrative Health PLLC was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.