Individual provider Active NPI

Evgeniya Berger, NP

  • Nurse Practitioner
  • Kent, WA
National Provider Identifier
1891351334
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60958024 Issued in WA
Practice address
21851 84TH Ave S Ste 101
Kent, WA 98032
Phone
(425) 947-2462
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60958024 WA Primary

Addresses

Primary practice location

21851 84TH Ave S Ste 101
Kent, WA 98032

Mailing address

21851 84TH Ave S Ste 101
Kent, WA 98032-1958

Other practice location 1

21851 84th Ave S Ste 101
Kent, WA 98032
Phone (425) 947-2462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128001271 WA Practitioner - Nurse Practitioner 4880042100 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60958024WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bastion Health PC CurrentSince Oct 14, 2023 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Mar 11, 2025 Accepting new patients
In Touch With Health Chiropractic Clinic P.C. Nurse Practitioner CurrentSince Aug 10, 2024 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699

1111 N Northgate Way
Seattle, WA 98133
Phone (206) 523-2225

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1891351334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21851 84TH AVE S STE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21851 84TH AVE S STE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "98032",
            "telephone_number": "425-947-2462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21851 84th Ave S Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "98032",
            "country_code": "US",
            "telephone_number": "425-947-2462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "EVGENIYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60958024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.