EVERGREEN DIABETES & ENDOCRINOLOGY MEDICAL GROUP, PLLC
NPI 1497766190
Internal Medicine - Endocrinology, Diabetes & Metabolism in Kirkland, WA

Active since August 10, 2006
13118 121ST WAY NE, SUITE 103, KIRKLAND, WA 98034(425) 899-6414(425) 899-4066 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Diabetes & Endocrinology Medical Group, Pllc NPPES

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

EVERGREEN DIABETES & ENDOCRINOLOGY MEDICAL GROUP, PLLC (NPI 1497766190) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Kirkland, Washington and active in the NPI registry since August 2006. The organization lists Edward Courtright La Cava, Owner, as its authorized official.

NPPES Registry Identity

NPI1497766190
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameEVERGREEN DIABETES & ENDOCRINOLOGY MEDICAL GROUP, PLLC
Location Address13118 121ST WAY NE, SUITE 103Kirkland, WA 98034-3004
Mailing Address13118 121 Way Ne, Suite 103Kirkland, WA 98034-3004 · (425) 899-6414 · Fax (425) 899-4066
Fax(425) 899-4066
Organization SubpartNo
Authorized OfficialEdward Courtright La CavaOwner · (425) 899-6414
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 23, 2008
NPI 1497766190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in WA · 602612648
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
13118 121ST WAY NE, Kirkland, WA 98034

Other Identifiers 1

Medicare PIN8868331

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

Other Providers at the Same Location NPPES 13

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

Physical Therapist
13118 121ST WAY NE, SUITE 201
KIRKLAND, WA 98034
Acupuncturist
13118 121ST WAY NE, SUITE 100
KIRKLAND, WA 98034
Dentist (General Practice)
13118 121ST WAY NE, SUITE 102
KIRKLAND, WA 98034
Physical Therapist
13118 121ST WAY NE, SUITE 201
KIRKLAND, WA 98034
Dentist (Pediatric Dentistry)
13118 121ST WAY NE, SUITE 103
KIRKLAND, WA 98034
Physical Therapy Assistant
13118 121ST WAY NE, SUITE 201
KIRKLAND, WA 98034
Family Medicine (Sports Medicine)
13118 121ST WAY NE, SUITE 100
KIRKLAND, WA 98034
Physical Therapist
13118 121ST WAY NE, SUITE 201
KIRKLAND, WA 98034

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 Diabetes & Endocrinology Medical Group, PLLC's NPI number?

The NPI number for Evergreen Diabetes & Endocrinology Medical Group, PLLC is 1497766190. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Evergreen Diabetes & Endocrinology Medical Group, PLLC located?

Evergreen Diabetes & Endocrinology Medical Group, PLLC is located at 13118 121st Way NE Suite 103, Kirkland, WA 98034. The listed phone number is (425) 899-6414.

What is Evergreen Diabetes & Endocrinology Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

When was this NPI record last updated?

The NPPES record for Evergreen Diabetes & Endocrinology Medical Group, PLLC was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.