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MR. KENNETH EVANGELISTA
NPI 1710318837
Nurse Practitioner - Adult Health in Everett, WA

Active since November 30, 2013
1321 COLBY AVE, EVERETT, WA 98201(425) 261-2000 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2019, Mar 17, 2018, Dec 12, 2017 (3 updates tracked since 2017).

About Mr. Kenneth Evangelista NPPES

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

MR. KENNETH EVANGELISTA (NPI 1710318837) is an individual adult health provider in Everett, Washington, licensed in Washington (AP60698654) and active in the NPI registry since November 2013. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710318837
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. KENNETH EVANGELISTA
Location Address1321 COLBY AVEEverett, WA 98201-1665
Mailing AddressPo Box 3360Portland, OR 97208-3360 · (866) 747-2455
Phone(425) 261-2000
Sole ProprietorNo
Enumeration DateNovember 30, 2013
Last NPPES UpdateDecember 11, 20193 updates tracked since enumeration
✔ NPI 1710318837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in WA · AP60698654
1321 COLBY AVE, Everett, WA 98201
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1251 E Huron StChicago, IL 60611-2908 · Phone (312) 926-2000
Location 23901 Hoyt AveEverett, WA 98201-4918 · Phone (425) 259-0966

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 20

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

SAMUEL ROB GUYER MD
Surgery (Trauma Surgery)
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-2000
DR. EDWARD SCOTT CASSELMAN MD
Radiology (Diagnostic Radiology)
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-4100
LINDSY J ALANIS MD
Internal Medicine
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-2000
JAMES RAYMOND LARSON
Anesthesiology
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 258-3678
CREDENA HEALTH LLC
Pharmacy (Community/Retail Pharmacy)
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-3555
MICHELLE HOPSTAD OTR/L
Occupational Therapist
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-3825
ARUNACHALAM EINSTEIN MD
Emergency Medicine
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 261-2000
ROBERT E VANVALKENBURGH
Anesthesiology
1321 COLBY AVE
EVERETT, WA 98201
Snohomish County (425) 258-3678

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 Kenneth Evangelista's NPI number?

The NPI number for Kenneth Evangelista is 1710318837. It was assigned to this individual provider in the NPPES registry on November 30, 2013.

Where is Kenneth Evangelista located?

Kenneth Evangelista practices at 1321 Colby Ave, Everett, WA 98201. The listed phone number is (425) 261-2000.

What is Kenneth Evangelista's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

What insurance does Kenneth Evangelista accept?

Health plans from PacificSource Health Plans list Kenneth Evangelista 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 Kenneth Evangelista was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.