{"npi":"1316708993","type":"NPI-2","status":"active","name":{"display":"Evolve Behavioral Health, LLC","other":[],"organization_name":"EVOLVE BEHAVIORAL HEALTH, LLC","authorised_official":"Jessi Tidwell"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":null,"license":null},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2904 MALL RD","city":"FLORENCE","state":"AL","postal_code":"356301641","country_code":"US","phone":"2567673330","fax":"9496954340"},{"purpose":"MAILING","street_1":"2904 MALL RD","city":"FLORENCE","state":"AL","postal_code":"356301641","country_code":"US","phone":"2567673330","fax":"9496954340"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240501001270","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AL","pac_id":"9032559521"}]},"enumeration_date":"2024-01-19","last_updated":"2025-03-28","_meta":{"source":"NPPES","snapshot_date":"2025-03-28","doc_url":"https://findmynpi.com/api"}}