Evergreen East Asian Medicine LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EVERGREEN EAST ASIAN MEDICINE LLC

Practice address

7025 N 57TH Ave
Glendale, AZ 85301-2517

Phone

(623) 243-5195

NPI assigned

Sep 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Thanh Nguyen, DSOMNPI 1689277428

Title

Co-Owner

Phone

(602) 653-7272

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Thanh Vu Nguyen, L.AC

  • Acupuncturist
  • Glendale, AZ
  • NPI 1689277428
  NPD Authorized official
• Tara Weisenburger

  • Acupuncturist
  • Glendale, AZ
  • NPI 1689493694
  NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1508684473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 N 57TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012517",
            "telephone_number": "623-243-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 N 57TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012517",
            "telephone_number": "623-243-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN EAST ASIAN MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THANH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "602-653-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shlisa Marie Evans, LPC
• Tanya B. Evans, MD
• Eventide Counseling and Consulting, LLC
• Ever Kind Caregivers
• Kristi Everett
• Everside Health, LLC
• Everwell Health LLC
• Demetra Evrigenis, RD
• Uzoma Nkasiobi Evuka, RVS
• Elizabeth Ewell, D.M.D.

• Acupuncturist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.