Individual provider Active NPI

Susan G Taylor, RN, ARNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Bellingham, WA
National Provider Identifier
1023017043
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30005906 Issued in WA
Practice address
1020 Samish Way
Bellingham, WA 98229-3104
Phone
(425) 231-5293
NPI assigned
Jul 20, 2005
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP30005906 WA Primary
Certified Registered Nurse Anesthetist 367500000X RNA-340 ID
Registered Nurse 163W00000X 23815 ID
Registered Nurse 163W00000X RN00105586 WA

Addresses

Primary practice location

1020 Samish Way
Bellingham, WA 98229-3104

Mailing address

PO Box 2329
Mount Vernon, WA 98273-7329
Phone (509) 529-9876

Other practice location 1

2606 116th Ave NE Ste 100
Bellevue, WA 98004-1422
Phone (425) 462-7664

Other identifiers 3

IdentifierTypeStateIssuer
1000500MedicaidWA
9633538MedicaidWA
1023017043MedicaidID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asc.pclibellevue.p1@direct.pcli.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070604000633 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305944018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2517 NE Kresky Ave
Chehalis, WA 98532-2433
Phone (360) 748-8632

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00105586WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Current Accepting new patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Providence Wa Anesthesia Services, P.C. CurrentSince Sep 1, 2017 Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. CurrentSince Sep 15, 2017 Accepting new patients
Northwest Gastroenterology Professional LLC PastSince Aug 5, 1998 Accepting new patients
Intermountain Ambulatory Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Past Accepting new patients
Pacific Cataract and Laser Institute of Alaska Inc PC PastSince Apr 1, 1990 Accepting new patients
Northwest Endoscopy Center, LLC PastSince Sep 1, 2020 Accepting new patients

Locations

2606 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 462-7664

2517 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 748-8632

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

6695 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 736-0826

115 New View Ct NE
Olympia, WA 98506
Phone (360) 252-1642

16818 E Desmet Ct
Spokane Valley, WA 99216
Phone (360) 242-3008

2915 S Alder St
Tacoma, WA 98409
Phone (253) 473-0275

2205 NE 129th St
Vancouver, WA 98686
Phone (360) 450-6644

3900 Kern Rd
Yakima, WA 98902
Phone (509) 966-1356

Interoperability endpoints

  • Direct secure messaging: asc.pclibellevue.p1@direct.pcli.nextgenshare.com
  • Direct secure messaging: susan.taylor.p1@direct.pcli.nextgenshare.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1023017043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2329",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982737329",
            "telephone_number": "509-529-9876",
            "fax_number": "509-593-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SAMISH WAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982293104",
            "telephone_number": "425-231-5293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2606 116th Ave NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980041422",
            "country_code": "US",
            "telephone_number": "425-462-7664",
            "fax_number": "425-462-6429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SUSAN",
        "middle_name": "G",
        "credential": "RN, ARNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30005906",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-340",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "23815",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00105586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000500",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9633538",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023017043",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asc.pclibellevue.p1@direct.pcli.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2606 116th Ave NE Ste 100",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980041422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.