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EVERGREEN HEALTH AND WELLNESS LLC
NPI 1902791031
Family Medicine - Adult Medicine in Peyton, CO

Active since June 10, 2025
11528 LOUVRE PT, PEYTON, CO 80831(304) 860-2012 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Health And Wellness Llc NPPES

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

EVERGREEN HEALTH AND WELLNESS LLC (NPI 1902791031) is a healthcare organization registered as an adult medicine in Peyton, Colorado and active in the NPI registry since June 2025. The organization lists Stephanie Green, Provider, as its authorized official.

NPPES Registry Identity

NPI1902791031
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameEVERGREEN HEALTH AND WELLNESS LLC
Location Address11528 LOUVRE PTPeyton, CO 80831-8225
Mailing Address11528 Louvre PtPeyton, CO 80831-8225 · (304) 860-2012
Phone(304) 860-2012
Organization SubpartNo
Authorized OfficialStephanie GreenProvider · (304) 860-2012
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1902791031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
11528 LOUVRE PT, Peyton, CO 80831
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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

Other Providers at the Same Location NPPES 2

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

EVERGREEN HEALTH INSTITUTE
Family Medicine
11528 LOUVRE PT
PEYTON, CO 80831
El Paso County (719) 377-5152
EVERGREEN HEALTH INSTITUTE
Public Health or Welfare
11528 LOUVRE PT
PEYTON, CO 80831
El Paso County (719) 377-5152

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 Health And Wellness LLC's NPI number?

The NPI number for Evergreen Health And Wellness LLC is 1902791031. It was assigned to this organization in the NPPES registry on June 10, 2025.

Where is Evergreen Health And Wellness LLC located?

Evergreen Health And Wellness LLC is located at 11528 Louvre Pt, Peyton, CO 80831. The listed phone number is (304) 860-2012.

What is Evergreen Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Evergreen Health And Wellness LLC was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.