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Active NPI 1215256045 Organization (Entity Type 2)

Evolution Foundation

Voluntary or Charitable • Edmond, OK

About Evolution Foundation NPI 1215256045 Summary

Evolution Foundation is a verified healthcare organization specializing in Voluntary or Charitable operating in Edmond, OK. Located at 1620 RIDGECREST RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1215256045.

Administrative operations and authorized compliance are overseen by Jeff Tallent (Executive Director).

The facility is associated with 6 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1620 Ridgecrest Rd

Edmond, OK 730136653

Telephone 4052037898

Authorized Official Information

Authorized Contact Name

MR. Jeff Tallent

Title / Role

Executive Director

Official Telephone

4052037898

Facility Classifications & Specialties

Voluntary or Charitable Primary Taxonomy

NUCC Taxonomy Code: 251V00000X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

6 Linked

Susan Lawrence NPI 1104146273

Case Manager/Care Coordinator

Edmond, OK

View Practitioner Profile →

Jamie Reed NPI 1396056362

Case Manager/Care Coordinator

Edmond, OK

View Practitioner Profile →

Emily Burns NPI 1518644251

Peer Specialist

Edmond, OK

View Practitioner Profile →

Susan Boehrer NPI 1548580707

Case Manager/Care Coordinator

Edmond, OK

View Practitioner Profile →

Frank Lawrence NPI 1871804310

Case Manager/Care Coordinator

Edmond, OK

View Practitioner Profile →

Jeff Tallent NPI 1902126709

Case Manager/Care Coordinator

Edmond, OK

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active May 18, 2010

NPI status registered as active in NPPES database

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Updated Practice Location May 18, 2010

Registered at 1620 RIDGECREST RD, EDMOND, OK 730136653 (Tel: 4052037898)

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Updated Business Mailing Address May 18, 2010

Registered at 1620 RIDGECREST RD, EDMOND, OK 730136653 (Tel: 4053300642)

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Organization / Clinic Name Updated May 18, 2010

Operating as EVOLUTION FOUNDATION

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2010

Voluntary or Charitable

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Initial NPI Registration & Enumeration May 18, 2010

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1215256045

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: May 18, 2010

Last Update: May 18, 2010

Update or Correct Listing

Mailing Address

1620 Ridgecrest Rd

Edmond, OK 730136653

Phone: 4053300642

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.