Evergreen Children'S Clinic
NPI 1750639704 · Pediatric Nurse Practitioner · Puyallup, WA
Evergreen Children'S Clinic is a Pediatric Nurse Practitioner organization in Puyallup, WA (NPI 1750639704).
Provider details
- NPI number
- 1750639704
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Susanne Roach, Office Manager(253) 848-2303
- License
- AP60305667 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Pediatrics Pm
Registry dates
- Enumerated
- 2012-08-23
- Last updated
- 2012-08-23
Frequently asked questions
- What is Evergreen Children'S Clinic's NPI number?
- Evergreen Children'S Clinic's National Provider Identifier (NPI) is 1750639704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Children'S Clinic?
- Evergreen Children'S Clinic is classified in the NPPES registry as Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Evergreen Children'S Clinic located?
- Evergreen Children'S Clinic's practice location on file with NPPES is 1910 Meridian St S, Puyallup, WA 98371-7531.
- What is Evergreen Children'S Clinic's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Children'S Clinic is (253) 848-2303.
- Who is the authorized official for Evergreen Children'S Clinic?
- The authorized official listed on Evergreen Children'S Clinic's NPPES record is Susanne Roach, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Children'S Clinic's NPI active?
- Yes — Evergreen Children'S Clinic's NPI (1750639704) is active in the NPPES registry as of the last update on 2012-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.