NPIMap

Organization Active NPI

Evergreen Naturopathic, Inc

  • Non-Pharmacy Dispensing Site
  • Spokane, WA
National Provider Identifier
1720336936
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
EVERGREEN NATUROPATHIC, INC
Practice address
316 W Boone Ave
Suite 777
Spokane, WA 99201-2354
Phone
(509) 755-5100
Fax
(888) 431-8819
NPI assigned
Aug 17, 2012
Organization subpart
Yes
Parent organization
EVERGREEN NATUROPATHIC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Dr. Alycia R. Policani, NDNPI 1457439762
Title
Owner
Phone
(509) 755-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

316 W Boone Ave
Suite 777
Spokane, WA 99201-2354

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Tax ID family
Evergreen Naturopathic Inc2 organizations share this tax ID, including this one
Part of
Evergreen Naturopathic Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

316 W Boone Ave
Ste 777
Spokane, WA 99201
Phone (509) 202-7901

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1720336936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE",
            "address_2": "SUITE 777",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012354",
            "telephone_number": "509-755-5100",
            "fax_number": "888-431-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN NATUROPATHIC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVERGREEN NATUROPATHIC, INC",
        "enumeration_date": "2012-08-17",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "POLICANI",
        "authorized_official_first_name": "ALYCIA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-755-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.