Organization Active NPI

Evergreen Mobility

  • Non-emergency Medical Transport (VAN)
  • Tacoma, WA
National Provider Identifier
1053220780
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EVERGREEN MOBILITY
Practice address
418 138TH St S # B
Tacoma, WA 98444-4726
Phone
(253) 737-9517
NPI assigned
Sep 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ludmila Vickery
Title
Owner
Phone
(253) 737-9517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

418 138TH St S # B
Tacoma, WA 98444-4726

Mailing address

418 138TH St S # B
Tacoma, WA 98444-4726
Phone (253) 737-9517

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1053220780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 138TH ST S # B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444726",
            "telephone_number": "253-737-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 138TH ST S # B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444726",
            "telephone_number": "253-737-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "VICKERY",
        "authorized_official_first_name": "LUDMILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-737-9517"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.