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EVERGREEN PSYCHIATRY AND WELLNESS PLLC
NPI 1902742984
Nurse Practitioner - Psychiatric/Mental Health in Lake Stevens, WA

Active since April 24, 2026
10123 21ST ST SE, LAKE STEVENS, WA 98258(206) 422-7742(206) 422-7742 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2026, Apr 24, 2026 (2 updates tracked since 2026).

About Evergreen Psychiatry And Wellness Pllc NPPES

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

EVERGREEN PSYCHIATRY AND WELLNESS PLLC (NPI 1902742984) is a healthcare organization registered as a psychiatric/mental health in Lake Stevens, Washington and active in the NPI registry since April 2026. The organization lists Agnes Wanjiku Mbatia, Provider, as its authorized official.

NPPES Registry Identity

NPI1902742984
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEVERGREEN PSYCHIATRY AND WELLNESS PLLC
Location Address10123 21ST ST SELake Stevens, WA 98258-3223
Mailing Address10123 21st St SeLake Stevens, WA 98258-3223 · (206) 422-7742 · Fax (206) 422-7742
Phone(206) 422-7742
Fax(206) 422-7742
Organization SubpartNo
Authorized OfficialAgnes Wanjiku MbatiaProvider · (206) 422-7742
Enumeration DateApril 24, 2026
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1902742984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10123 21ST ST SE, Lake Stevens, WA 98258
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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

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 Psychiatry And Wellness PLLC's NPI number?

The NPI number for Evergreen Psychiatry And Wellness PLLC is 1902742984. It was assigned to this organization in the NPPES registry on April 24, 2026.

Where is Evergreen Psychiatry And Wellness PLLC located?

Evergreen Psychiatry And Wellness PLLC is located at 10123 21st St SE, Lake Stevens, WA 98258. The listed phone number is (206) 422-7742.

What is Evergreen Psychiatry And Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Evergreen Psychiatry And Wellness PLLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.