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EVERGREEN HEALTH
NPI 1043743438
General Acute Care Hospital in Kirkland, WA

Active since April 04, 2017CLIA Certified · 3 labs
12040 NE 128TH ST # MS 74, KIRKLAND, WA 98034(425) 899-6300(425) 899-6301 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN HEALTH (NPI 1043743438) is a healthcare organization registered as a general acute care hospital in Kirkland, Washington and active in the NPI registry since April 2017. The organization holds 3 active CLIA laboratory certificates and lists Leah Jones, Manager, as its authorized official.

NPPES Registry Identity

NPI1043743438
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameEVERGREEN HEALTH
Location Address12040 NE 128TH ST # MS 74Kirkland, WA 98034-3013
Mailing Address12040 Ne 128th St # Ms 74Kirkland, WA 98034-3013
Phone(425) 899-6300
Fax(425) 899-6301
Organization SubpartNo
Authorized OfficialLeah JonesManager · (425) 899-6300
Enumeration DateApril 4, 2017
✔ NPI 1043743438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
12040 NE 128TH ST # MS 74, Kirkland, WA 98034
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CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0630333

Evergreen Health Women's Care · Kirkland, WA
Active · expires Apr 4, 2028
CLIA Number50D0630333
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLauren K. Swords
Laboratory Phone(425) 899-6400
Laboratory LocationEvergreen Health Women's Care12303 NE 130th Ln Ste 420, Kirkland, WA 98034
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 50D0704436

Evergreen Health Diabetes And Endocrinology · Kirkland, WA
Active · expires Apr 4, 2028
CLIA Number50D0704436
Laboratory TypePhysician Office
Certificate Effective DateDecember 26, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKomal C. Patil-Sisddia
Laboratory Phone(425) 899-6414
Laboratory LocationEvergreen Health Diabetes And Endocrinology12333 NE 130th Ln Ste Tan 400, Kirkland, WA 98034
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2190435

Evergreen Health Urgent Care, Totem Lake · Kirkland, WA
Active · expires Apr 4, 2028
CLIA Number50D2190435
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBradley Younggren
Laboratory Phone(425) 544-3850
Laboratory LocationEvergreen Health Urgent Care, Totem Lake12710 Totem Lake Blvd, Kirkland, WA 98034
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANNA MEI HO MA, LMHC, GMHS
Counselor (Mental Health)
12040 NE 128TH ST # MS 74
KIRKLAND, WA 98034
King County (425) 899-6300
JULIE ANN BEUCHERIE MS, LMHC
Counselor (Mental Health)
12040 NE 128TH ST # MS 74
KIRKLAND, WA 98034
King County (425) 899-6300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Health's NPI number?

The NPI number for Evergreen Health is 1043743438. It was assigned to this organization in the NPPES registry on April 4, 2017.

Where is Evergreen Health located?

Evergreen Health is located at 12040 NE 128th St # Ms 74, Kirkland, WA 98034. The listed phone number is (425) 899-6300.

What is Evergreen Health's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Evergreen Health hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Evergreen Health was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.