Evergreen Wellnes Center

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

2003012552 Issued in MO

Legal business name

EVERGREEN WELLNES CENTER

Practice address

9235 E Harry St
Wichita, KS 67207-5073

Phone

(316) 691-8811

Fax

(316) 691-8868

NPI assigned

Aug 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Qizhi Gao

Title

President

Phone

(913) 871-6308

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1811276405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075073",
            "telephone_number": "316-691-8811",
            "fax_number": "316-691-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 E HARRY ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075073",
            "telephone_number": "316-691-8811",
            "fax_number": "316-691-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN WELLNES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "GAO",
        "authorized_official_first_name": "QIZHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-871-6308",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MO",
            "license": "2003012552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Evans, PH.D.
• Theresa Ann Evans, PTA
• Lueata Ann Evenson, LSCSW
• Gina M Everett, PA
• Evergreen Group, L.L.C.
• Brooke Everhart
• Elizabeth Everhart
• Every Child'S Voice, LLC
• Evolution Counseling
• Evolution Wellness Center

• Point of Service in Wichita, KS
• Providers in Wichita, KS by specialty
• Point of Service in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.