Organization Active NPI

Evergreen Therapeutics LLC

  • Behavior Analyst
  • Kernersville, NC
National Provider Identifier
1871439273
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EVERGREEN THERAPEUTICS LLC
Practice address
1492 Chimney Rock Dr
Kernersville, NC 27284-8905
Phone
(336) 252-4568
NPI assigned
Apr 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Lyndsey Isley, LBA, BCBANPI 1942704481
Title
Owner/Chief Executive Officer
Phone
(336) 252-4434

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1492 Chimney Rock Dr
Kernersville, NC 27284-8905

Mailing address

5164 Reidsville Rd Ste 215
Walkertown, NC 27051-9770
Phone (336) 252-4568

National Provider Directory

National Provider Directory

Locations

5164 Reidsville Rd
Walkertown, NC 27051

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": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1871439273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5164 REIDSVILLE RD STE 215",
            "city": "WALKERTOWN",
            "state": "NC",
            "postal_code": "270519770",
            "telephone_number": "336-252-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 CHIMNEY ROCK DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848905",
            "telephone_number": "336-252-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "ISLEY",
        "authorized_official_first_name": "LYNDSEY",
        "authorized_official_title_or_position": "OWNER/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "336-252-4434",
        "authorized_official_credential": "LBA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.