NPIMap

Organization Active NPI

Evergreen Health Services PLC

  • Specialist
  • Saint Paul, MN
National Provider Identifier
1154689131
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31023 Issued in MN
Legal business name
EVERGREEN HEALTH SERVICES PLC
Practice address
514 Saint Peter St
Suite 220
Saint Paul, MN 55102-1001
Phone
(651) 287-8781
NPI assigned
Apr 27, 2012
Last updated
Apr 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Adriane Joy Burton
Title
Office Manager
Phone
(651) 287-8781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 31023 MN Primary

Addresses

Primary practice location

514 Saint Peter St
Suite 220
Saint Paul, MN 55102-1001

Mailing address

3437 Saint Louis Ave
Minneapolis, MN 55416-4396

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1154689131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 SAINT LOUIS AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 SAINT PETER ST",
            "address_2": "SUITE 220",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021001",
            "telephone_number": "651-287-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HEALTH SERVICES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "ADRIANE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "651-287-8781"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "31023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.