Active NPI
Elizabeth Katherine Mary Pulatie, CRNA
- Certified Registered Nurse Anesthetist
- Tacoma, WA
National Provider Identifier
1003913484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30007505
- Practice address
- 9040 A Reid St
Tacoma, WA 98431-0001 - Phone
- (253) 968-1110
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP30007505 | WA | Primary |
Addresses
Primary practice location
9040 A Reid St
Tacoma, WA 98431-0001
Mailing address
PO Box 561
331 E. Enchantment Heights Dr.
Union, WA 98592-0561
Phone (360) 427-9323
Other names 1
- Elizabeth Katherine Mary Eddy, Eng
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4383 | CA | MD | Clinical Nurse Specialist |
| AP30007505 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canadian Valley Anesthesia Services | Past | Accepting new patients | |
| Box Butte General Hospital | Past | Accepting new patients | |
| Box Butte General Hospital | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Hemingford, NE
- NPI 1609944388
-
- Clinic/Center
- Alliance, NE
- NPI 1871652453
-
- Anesthesiology Physician
- Yukon, OK
- NPI 1770541385
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Critical Access Hospital
- Hollis, OK
- NPI 1295735991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1003913484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 561",
"address_2": "331 E. ENCHANTMENT HEIGHTS DR.",
"city": "UNION",
"state": "WA",
"postal_code": "985920561",
"telephone_number": "360-427-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 A REID ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-968-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULATIE",
"first_name": "ELIZABETH",
"middle_name": "KATHERINE MARY",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30007505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "EDDY, ENG",
"middle_name": "KATHERINE MARY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.