Evergreen Court

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1502 Issued in WA

Legal business name

EVERGREEN COURT

Practice address

900 - 124TH Avenue N.E
Bellevue, WA 98005

Phone

(425) 455-4333

Fax

(425) 637-4860

NPI assigned

Apr 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kate Quebe

Title

Executive Director

Phone

(425) 455-4333

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912127192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900-124TH AVENUE N.E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-455-4333",
            "fax_number": "425-637-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 - 124TH AVENUE N.E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-455-4333",
            "fax_number": "425-637-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN COURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUEBE",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-455-4333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "1502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwayne Cordale Evans, CDP
• Marian Elaine Evans, MA,LMHC
• Melissa Tarbuck Evans, DPT
• Naomi Evans
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• Evergreen Family Dentistry Bellevue
• Evergreen Park Afh
• Evergreen Washington Healthcare Greenwood, L.L.C. (Bellevue Post Acute)
• Lisa Eversole, OTRL
• Everything Spine Inc.

• Assisted Living Facility in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.