Evergreen Women's Health, PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

00041848 Issued in WA

Legal business name

EVERGREEN WOMEN'S HEALTH, PC

Practice address

1207 Washington St Unit 145
Vancouver, WA 98660-2997

Phone

(360) 964-3060

Fax

(360) 258-0757

NPI assigned

Apr 23, 2018

Organization subpart

No

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

Authorized official

Name

D'Ann Sprinkle

Title

Practice Administrator

Phone

(360) 964-3060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Evergreen Integrative Gynecology Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Desiree Porter Costello

  • Doula
  • Portland, OR
  • NPI 1689993263
  NPD
• Brooklynne F Goss, PA-C

  • Physician Assistant
  • Battle Ground, WA
  • NPI 1346729696
  NPD (past)

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1467940726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 WASHINGTON ST UNIT 145",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602997",
            "telephone_number": "360-964-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 WASHINGTON ST UNIT 145",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602997",
            "telephone_number": "360-964-3060",
            "fax_number": "360-258-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN WOMEN'S HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "SPRINKLE",
        "authorized_official_first_name": "D'ANN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "360-964-3060"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WA",
            "license": "00041848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700866084",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Integrative Gynecology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Brianna Evetts, PA-C

• Gynecology Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.