Evergreen Ridge Care,LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

EVERGREEN RIDGE CARE,LLC

Practice address

13412 60TH Dr SE
Everett, WA 98208-9461

Phone

(206) 816-2470

Fax

(425) 948-7977

NPI assigned

Feb 13, 2023

Organization subpart

No

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

Authorized official

Name

Senait Belete Woldeyes, RNNPI 1326751884

Title

Provider

Phone

(206) 816-2470

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 1

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

• Senait Belete Woldeyes

  • Registered Nurse
  • Everett, WA
  • NPI 1326751884
  NPD Authorized official

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1639876378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13412 60TH DR SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089461",
            "telephone_number": "206-816-2470",
            "fax_number": "425-948-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13412 60TH DR SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089461",
            "telephone_number": "206-816-2470",
            "fax_number": "425-948-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN RIDGE CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "WOLDEYES",
        "authorized_official_first_name": "SENAIT",
        "authorized_official_middle_name": "BELETE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-816-2470",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Liubov Evmeshkina, ND
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• Expedition Physical Therapy PLLC
• Eye-Q Docs of Everett LTD

• Registered Nurse in Everett, WA
• Providers in Everett, WA by specialty
• Registered Nurse in Washington

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