EVERGREEN EYE ANESTHESIA PLLC NPI 1134839319

NPI Information

  • NPI: 1134839319
  • Provider Name: EVERGREEN EYE ANESTHESIA PLLC
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Organization
  • CLIA Number: 50D2302775
  • Address: 34719 6TH AVE S
    FEDERAL WAY, WA
    ZIP 98003
  • Phone: (800) 340-3595

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NPI Details

EVERGREEN EYE ANESTHESIA PLLC is a nurse anesthetist certified registered in Federal Way, WA. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. EVERGREEN EYE ANESTHESIA PLLC NPI is 1134839319. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

34719 6TH AVE S
FEDERAL WAY, WA
ZIP 98003-714
Phone: (800) 340-3595

The provider's authorized official is Suzanne Isom .
The authorized official title is Billing Manager and has the following contact phone number (425) 407-1000.

The CLIA number assigned to this NPI record is 50D2302775 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2022 and was last updated on 12/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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