Active NPI
Evergreen Mobility
- Non-emergency Medical Transport (VAN)
- Tacoma, WA
National Provider Identifier
1053220780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.