THE EVERGREEN AT NORTHPOINT (NPI# 1942735667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942735667 |
| Entity Type | Organization |
| Organization Name | THE EVERGREEN AT NORTHPOINT |
| Other Organization Name | IMAGINE BELLEVUE |
| Practice Address |
2111 N Northgate Way Ste 101 Seattle WA 98133-9018 |
| Mailing Address |
1650 S Topaz Way Meridian ID 83642-4474 |
| Practice Telephone | 2063093740 |
| Practice Fax Number | 8552125682 |
| Mailing Telephone | 2086057070 |
| Mailing Fax Number | 2088983365 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | JULIA HOLMES (DIRECTOR OF BILLING) |
| Authorized Official Telephone | 2088102709 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Imagine Bellevue | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13037 Ne Bel Red Rd, Suite 102, Bellevue, WA 980052618 | 4255029945 | 8552125682 |
| 2111 N Northgate Way Ste 101, Seattle, WA 981339018 | 2063093740 | 8552125682 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE EVERGREEN AT NORTHPOINT, LLC | 7416 212th St Sw, Edmonds, WA 98026-7609 |
| Street Address |
2111 N NORTHGATE WAY STE 101 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-9018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023651718 | Madeline Sarah Wilson | Counselor | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2019-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794421 | Reflect | Clinic/Center | 308 E Republican St Apt 701, Seattle, WA 98102-6804 | 2020-09-10 |
| 1588278394 | Makenzie Muilenburg Counseling | Clinic/Center | 271 Ne 45th St, Seattle, WA 98105-6147 | 2020-08-31 |
| 1972111201 | Core Psychology Group Pllc | Clinic/Center | 6325 17th Ave Nw, Seattle, WA 98107-2320 | 2020-07-22 |
| 1396360426 | Maitri Counseling Service | Clinic/Center | 3123 Eastlake Ave E Ste 108, Seattle, WA 98102-3801 | 2020-06-15 |
| 1881216042 | Ian Scheiner Counseling Pllc | Clinic/Center | 600 1st Ave Ste 438, Seattle, WA 98104-2237 | 2020-05-11 |
| 1922628288 | Nicole Hollinsworth | Clinic/Center | 7707 Greenwood Ave N Apt 302, Seattle, WA 98103-4655 | 2020-04-16 |
| 1538795844 | Sea - Mar Community Health Center | Clinic/Center | 9635 Des Moines Memorial Dr Ste 210, Seattle, WA 98108-5061 | 2020-03-18 |
| 1811467574 | Mulick Psychological Services, Pllc | Clinic/Center | 120 14th Ave Apt 5, Seattle, WA 98122-5559 | 2018-11-26 |
| 1750863668 | Seattle Institute for Family Therapy | Clinic/Center | 600 N 36th St Ste 415, Seattle, WA 98103-8699 | 2018-09-06 |
| 1831600782 | Creating Space Counseling | Clinic/Center | 1421 34th Ave Ste 204, Seattle, WA 98122-3333 | 2017-10-18 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.