EVERGREEN EYE ANESTHESIA PLLC
NPI 1134839319
Nurse Anesthetist, Certified Registered in Federal Way, WA
NPI Status: Active since November 29, 2022
Contact Information
34719 6TH AVE S
FEDERAL WAY, WA
ZIP 98003
Phone: (800) 340-3595
- Organization
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
- CLIA Number: 50D0926546
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 04-04-2028
About EVERGREEN EYE ANESTHESIA PLLC
This page provides the complete NPI Profile along with additional information for Evergreen Eye Anesthesia Pllc, a provider established in Federal Way, Washington operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1134839319 assigned on November 2022. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Suzanne Isom (Billing Manager)
- NPI
- 1134839319
- Provider Name
- EVERGREEN EYE ANESTHESIA PLLC
- Entity Type
- Organization
- Location Address
- 34719 6TH AVE S FEDERAL WAY, WA 98003
- Location Phone
- (800) 340-3595
- Mailing Address
- 6003 23RD DR W STE 100 EVERETT, WA 98203
- Mailing Phone
- (425) 407-1500
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-29-2022
- Last Update Date
- 12-15-2022
- Code Navigator
Location Map
Secondary Locations
- 502 S M St
Tacoma, WA 98405
(800) 340-3595 - 1229 Madison St Ste 1250
Seattle, WA 98104
(206) 212-2100
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D0926546
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- July 31, 2017
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- ROBERT A. TESTER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evergreen Eye Anesthesia Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134839319, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
FEDERAL WAY, WA 98003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134839319, enumerated as an "organization" on November 29, 2022.
The provider is located at 34719 6TH AVE S FEDERAL WAY, WA 98003 and the phone number is (800) 340-3595.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
