Active NPI
Evergreen Nutrition Services PLLC
Doing business as Quimper Lactation
- Lactation Consultant (Non-RN)
- Port Townsend, WA
National Provider Identifier
1083424378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- Legal business name
- EVERGREEN NUTRITION SERVICES PLLC
- Doing business as
- Quimper Lactation
- Practice address
- 808 T St
Port Townsend, WA 98368-3402 - Phone
- (360) 302-0996
- NPI assigned
- Jan 9, 2025
- Last updated
- Jan 9, 2025
- 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
- Jennifer Cashin, MPH, IBCLC
- Title
- Owner, Provider
- Phone
- (360) 302-0996
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Lactation Consultant (Registered Nurse) | 163WL0100X | |||
| Lactation Consultant (Non-RN) | 174N00000X | Primary |
Addresses
Primary practice location
808 T St
Port Townsend, WA 98368-3402
Mailing address
808 T St
Port Townsend, WA 98368-3402
Phone (360) 302-0996
Other names 1
- Quimper Lactation
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1083424378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 T ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983683402",
"telephone_number": "360-302-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 T ST",
"city": "PORT TOWNSEND",
"state": "WA",
"postal_code": "983683402",
"telephone_number": "360-302-0996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN NUTRITION SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A",
"authorized_official_last_name": "CASHIN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER, PROVIDER",
"authorized_official_telephone_number": "360-302-0996",
"authorized_official_credential": "MPH, IBCLC"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Lactation Consultant",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Quimper Lactation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port Townsend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.