Individual provider Active NPI

Iveta Everingham, RNFA

  • Registered Nurse First Assistant
  • Issaquah, WA
National Provider Identifier
1922256395
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN00144475 Issued in WA
Practice address
1945 16 TH Ave NE
Issaquah, WA 98029
Phone
(206) 427-2898
Fax
(541) 647-2171
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 200740612RN OR
Plastic Surgery Registered Nurse 163WS0121X 200740612RN OR
Registered Nurse First Assistant 163WR0006X RN00144475 WA Primary

Addresses

Primary practice location

1945 16 TH Ave NE
Issaquah, WA 98029

Mailing address

PO Box 2847
Issaquah, WA 98027
Phone (206) 427-2898

Other practice location 1

1231 116th Ave NE Ste 535
Bellevue, WA 98004-3804
Phone (425) 668-1916

Other identifiers 1

IdentifierTypeStateIssuer
275020OtherWASURGICAL ASSISTING SERVICES

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Home

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
200740612RNORMDRegistered Nurse First Assistant
RN00144475WAMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iveta Everingham Rnfa Surgical Assisting Services Registered Nurse First Assistant Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: iveta.everingham.p61@direct.proliance.nextgenshare.com

Organizations & group practices 1

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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1922256395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2847",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98027",
            "telephone_number": "206-427-2898",
            "fax_number": "541-647-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 16 TH AVE NE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98029",
            "telephone_number": "206-427-2898",
            "fax_number": "541-647-2171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 116th Ave NE Ste 535",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043804",
            "country_code": "US",
            "telephone_number": "425-668-1916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERINGHAM",
        "first_name": "IVETA",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "OR",
            "license": "200740612RN",
            "primary": false
        },
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "OR",
            "license": "200740612RN",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WA",
            "license": "RN00144475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURGICAL ASSISTING SERVICES",
            "identifier": "275020",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Home",
            "affiliation": "N",
            "address_1": "1945 16 th Ave NE",
            "city": "Issaquah",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.