Active NPI
Evergreen Health Institute
- Family Medicine Physician
- Peyton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EVERGREEN HEALTH INSTITUTE
- Practice address
- 11528 Louvre PT
Peyton, CO 80831-8225 - Phone
- (719) 377-5152
- NPI assigned
- Sep 23, 2025
- Last updated
- Jan 17, 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
- Stephanie Green, NP
- Title
- Ceo
- Phone
- (304) 860-2012
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
11528 Louvre PT
Peyton, CO 80831-8225
Mailing address
11605 Meridian Market VW Ste 124
Falcon, CO 80831-8238
Phone (719) 377-5152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Evergreen Health Institute
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Peyton, CO
- NPI 1255203493
-
- Family Medicine Physician
- Peyton, CO
- NPI 1417822099
Locations
11605 Meridian Market Vw
Ste 124
Peyton, CO 80831
Phone (719) 453-7473
Practitioners & 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.
-
- Family Nurse Practitioner
- Colorado Springs, CO
- NPI 1831954098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768608000000",
"number": "1093687444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11605 MERIDIAN MARKET VW STE 124",
"city": "FALCON",
"state": "CO",
"postal_code": "808318238",
"telephone_number": "719-377-5152",
"fax_number": "304-451-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11528 LOUVRE PT",
"city": "PEYTON",
"state": "CO",
"postal_code": "808318225",
"telephone_number": "719-377-5152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN HEALTH INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-23",
"last_updated": "2026-01-17",
"certification_date": "2026-01-17",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "304-860-2012",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peyton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.