Active NPI
Iveta Everingham, RNFA
- Registered Nurse First Assistant
- Issaquah, WA
National Provider Identifier
1922256395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN00144475
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275020 | Other | WA | SURGICAL ASSISTING SERVICES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 200740612RN | OR | MD | Registered Nurse First Assistant |
| RN00144475 | WA | MD | Registered Nurse First Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iveta Everingham Rnfa Surgical Assisting Services | Registered Nurse First Assistant | Current | Accepting new patients |
Interoperability endpoints
- 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.
-
- Registered Nurse First Assistant
- Issaquah, WA
- NPI 1093030843
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.