Evernorth Care Providers - Delaware PA
NPI 1578330684ActiveOrganization· General Practice· Washington, DC
General Practice in Washington, District of Columbia, registered in NPPES in December 2023. The authorized official on file is Jacqueline D. Lakes, Senior Paralegal. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578330684 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 8, 2023 |
| Last updated in NPPES | Jul 14, 2025 |
| Certified by provider | Jul 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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