BASMA RAEES
NPI 1184885675
Clinic/Center - Primary Care in Kirkland, WA

Active since June 18, 2008CLIA 50D0882349 · Waiver
433 STATE ST S STE 1, KIRKLAND, WA 98033(425) 828-3626(425) 828-3628 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Basma Raees NPPES

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

BASMA RAEES (NPI 1184885675) is a healthcare organization registered as a primary care in Kirkland, Washington and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Basma Raees, Owner, as its authorized official.

NPPES Registry Identity

NPI1184885675
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERGREEN PEDIATRICS PLLC
Location Address433 STATE ST S STE 1Kirkland, WA 98033-6615
Mailing Address433 State St S, Suite 6Kirkland, WA 98033-6615 · (425) 828-3626 · Fax (425) 828-3628
Fax(425) 828-3628
Organization SubpartYesParent: Basma Raees
Authorized OfficialBasma RaeesOwner · (425) 828-3626
Enumeration DateJune 18, 2008
Last NPPES UpdateFebruary 20, 2013
NPI 1184885675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
433 STATE ST S STE 1, Kirkland, WA 98033

Other Names 1

Other NameBasma Raees

Accepted 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 50D0882349

Evergreen Pediatrics PLLC · Kirkland, WA
Active · expires Apr 4, 2028
CLIA Number50D0882349
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2002
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBasma Raees
Laboratory Phone(425) 828-3626
Laboratory LocationEvergreen Pediatrics PLLC12911 120th Ave NE Ste B-10, Kirkland, WA 98034
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
433 STATE ST S STE 1
KIRKLAND, WA 98033

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 Pediatrics PLLC's NPI number?

The NPI number for Evergreen Pediatrics PLLC is 1184885675. It was assigned to this organization in the NPPES registry on June 18, 2008. The provider is also known as Basma Raees.

Where is Evergreen Pediatrics PLLC located?

Evergreen Pediatrics PLLC is located at 433 State St S Ste 1, Kirkland, WA 98033. The listed phone number is (425) 828-3626.

What is Evergreen Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Evergreen Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0882349) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evergreen Pediatrics PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Evergreen Pediatrics PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Pediatrics PLLC was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.