Organization Active NPI

Evergreen Holistic Healing

  • Health Service Clinic/Center
  • Annapolis, MD
National Provider Identifier
1760187975
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
EVERGREEN HOLISTIC HEALING
Practice address
801 Compass Way Ste 217
Annapolis, MD 21401-7818
Phone
(443) 942-7817
Fax
(443) 458-7246
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Mrs. Sara Jaye FentonNPI 1518205913
Title
Owner
Phone
(443) 942-7817

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

801 Compass Way Ste 217
Annapolis, MD 21401-7818

Mailing address

801 Compass Way Ste 217
Annapolis, MD 21401-7818
Phone (443) 782-7901

National Provider Directory

National Provider Directory

Locations

801 Compass Way
Ste 217
Annapolis, MD 21401
Phone (301) 821-7436

Practitioners & affiliated clinicians

Practitioners 1

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": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1760187975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 COMPASS WAY STE 217",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017818",
            "telephone_number": "443-782-7901",
            "fax_number": "443-548-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 COMPASS WAY STE 217",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017818",
            "telephone_number": "443-942-7817",
            "fax_number": "443-458-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HOLISTIC HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "JAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-942-7817",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.