NPIMap

Organization Active NPI

Evergreen Speech Clinic, Inc

Doing business as Evergreen Speech and Hearing Clinic, Inc

  • Clinic/Center
  • Redmond, WA
National Provider Identifier
1346474731
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EVERGREEN SPEECH CLINIC, INC
Doing business as
Evergreen Speech and Hearing Clinic, Inc
Practice address
8301 161St Ave NE
#203
Redmond, WA 98052-3858
Phone
(425) 882-4347
Fax
(425) 883-0043
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Ruth E Norwood, MM
Title
Clinic Director
Phone
(425) 882-4347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8301 161St Ave NE
#203
Redmond, WA 98052-3858

Mailing address

8301 161St Ave NE
#203
Redmond, WA 98052-3858
Phone (425) 882-4347

Other names 1

  • Evergreen Speech and Hearing Clinic, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140219000759 WA Part B Supplier - Clinic/Group Practice 0840429718 Receives reassigned benefits from 7 practitioners
Practice locations: Bellevue, WA; Redmond, WA; Kirkland, WA

National Provider Directory

National Provider Directory

Locations

1800 116th Ave NE
Ste 103
Bellevue, WA 98004
Phone (425) 454-1883

12333 NE 130th Ln
Ste 430
Kirkland, WA 98034
Phone (425) 882-4347

8301 161st Ave NE
Ste 208
Redmond, WA 98052
Phone (425) 882-4347

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1346474731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 161ST AVE NE",
            "address_2": "#203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523858",
            "telephone_number": "425-882-4347",
            "fax_number": "425-883-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 161ST AVE NE",
            "address_2": "#203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523858",
            "telephone_number": "425-882-4347",
            "fax_number": "425-883-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN SPEECH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "NORWOOD",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "425-882-4347",
        "authorized_official_credential": "MM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Speech and Hearing Clinic, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.

Verify at the official NPI Registry.