EVERGREEN EYE ANESTHESIA PLLC
NPI 1134839319
Nurse Anesthetist, Certified Registered in Federal Way, WA

Q: What is Evergreen Eye Anesthesia PLLC's NPI number?

The NPI number for Evergreen Eye Anesthesia PLLC is 1134839319. It was assigned to this organization in the NPPES registry on November 29, 2022.

Q: What is Evergreen Eye Anesthesia PLLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since November 29, 2022CLIA 50D2151103 · Waiver

34719 6TH AVE S, FEDERAL WAY, WA 98003(800) 340-3595 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2022, Nov 29, 2022 (2 updates tracked since 2022).

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About Evergreen Eye Anesthesia Pllc NPPES

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

EVERGREEN EYE ANESTHESIA PLLC (NPI 1134839319) is a healthcare organization registered as a nurse anesthetist, certified registered in Federal Way, Washington and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains 2 additional practice locations, and lists Suzanne Isom, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1134839319

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameEVERGREEN EYE ANESTHESIA PLLC

Location Address34719 6TH AVE SFederal Way, WA 98003-8714

Mailing Address6003 23rd Dr W Ste 100Everett, WA 98203-1583 · (425) 407-1500

Phone(800) 340-3595

Organization SubpartNo

Authorized OfficialSuzanne IsomBilling Manager · (425) 407-1000

Enumeration DateNovember 29, 2022

Last NPPES UpdateDecember 15, 20222 updates tracked since enumeration

NPPES CertifiedDecember 15, 2022

✔ NPI 1134839319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

34719 6TH AVE S, Federal Way, WA 98003

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Secondary Practice Locations 2

Location 1502 S M StTacoma, WA 98405-3728 · Phone (800) 340-3595

Location 21229 Madison St Ste 1250Seattle, WA 98104-3568 · Phone (206) 212-2100

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 50D2151103

Evergreen Eye Center · Seattle, WA

Active · expires Apr 4, 2028

CLIA Number50D2151103

Laboratory TypePhysician Office

Certificate Effective DateJuly 11, 2018

Certificate Expiration DateApril 4, 2028

Laboratory DirectorJohn Whitehead

Laboratory Phone(206) 212-2100

Laboratory LocationEvergreen Eye Center1229 Madison St Ste 1250, Seattle, WA 98104

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

MCKENZIE SUZANNE FOGARTY OD

Optometrist