Active NPI
Evergreen Women's Health Center PLLC
- Obstetrics & Gynecology Physician
- Kirkland, WA
National Provider Identifier
1114089349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- EVERGREEN WOMEN'S HEALTH CENTER PLLC
- Practice address
- 12333 NE 130TH LN
110
Kirkland, WA 98034-7467 - Phone
- (425) 285-0060
- NPI assigned
- Dec 14, 2006
- Last updated
- Nov 13, 2012
- 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
- Norma J Lahanier
- Title
- Clinic Administrator
- Phone
- (425) 285-0095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
12333 NE 130TH LN
110
Kirkland, WA 98034-7467
Mailing address
12333 NE 130TH LN
110
Kirkland, WA 98034-7467
Phone (425) 285-0060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7200066 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352764800000",
"number": "1114089349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12333 NE 130TH LN",
"address_2": "110",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347467",
"telephone_number": "425-285-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12333 NE 130TH LN",
"address_2": "110",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347467",
"telephone_number": "425-285-0060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN WOMEN'S HEALTH CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2012-11-13",
"status": "A",
"authorized_official_last_name": "LAHANIER",
"authorized_official_first_name": "NORMA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
"authorized_official_telephone_number": "425-285-0095"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7200066",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
- Evergreen Radia LLC (Evergreen Radia)
- Evergreen Surgery Center, LLC (Evergreen Surgical Center)
- Evergreen Telepsychiatry PLLC
- Evergreen Urology Assoc Inc PS
- Evergreen Women's Care, PLLC
- Evergreen Womens Speciality Clinic
- Evergreenhealth
- Evergreenhealth Value Network, LLC
- Evergreenhealthcare
- Anna Marinda Evershed, N.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.