Active NPI
Evergreen Surgical Assist
- Registered Nurse First Assistant
- Fort Collins, CO
National Provider Identifier
1598674236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- Legal business name
- EVERGREEN SURGICAL ASSIST
- Practice address
- 1024 S Lemay Ave
Fort Collins, CO 80524-3929 - Phone
- (970) 495-7000
- NPI assigned
- Sep 7, 2026
- 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
- Tami Perrin, BSN, RN, CNOR, RNFA
- Title
- RN Surgical First Assist
- Phone
- (970) 218-2393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | Primary |
Addresses
Primary practice location
1024 S Lemay Ave
Fort Collins, CO 80524-3929
Mailing address
3905 Melcer Dr Ste 601
Rowlett, TX 75088-4033
Phone (214) 227-2457
Other names 1
- NMBS National Medical Billing Services
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse First Assistant
- Fort Collins, CO
- NPI 1780508903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788739200000",
"number": "1598674236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 MELCER DR STE 601",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750884033",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 S LEMAY AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243929",
"telephone_number": "970-495-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN SURGICAL ASSIST",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-06",
"status": "A",
"authorized_official_last_name": "PERRIN",
"authorized_official_first_name": "TAMI",
"authorized_official_title_or_position": "RN SURGICAL FIRST ASSIST",
"authorized_official_telephone_number": "970-218-2393",
"authorized_official_credential": "BSN, RN, CNOR, RNFA"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NMBS National Medical Billing Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.