Individual provider Active NPI

Julia Lienesch

  • Certified Registered Nurse Anesthetist
  • Orofino, ID
National Provider Identifier
1043623309
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA61662 Issued in ID
Practice address
301 Cedar St
Orofino, ID 83544-9029
Phone
(208) 476-5777
Fax
(208) 476-5385
NPI assigned
Jun 4, 2014
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP60474280 WA
Certified Registered Nurse Anesthetist 367500000X CRNA61662 ID Primary

Addresses

Primary practice location

301 Cedar St
Orofino, ID 83544-9029

Mailing address

PO Box 267
Grangeville, ID 83530-0267
Phone (208) 413-4032

Other practice location 1

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000

Other practice location 2

500 Port Dr
Clarkston, WA 99403-1835
Phone (509) 758-8811

Other names 1

  • Miss Julia Muench Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140822002608 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840418463 Reassigns benefits to 1 organization
Practice locations: Clarkston, WA

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Specialists PSGroup PAC ID 3779473723, 3 clinicians

Practice addresses (Care Compare)

500 Port Dr
Clarkston, WA 99403-1835
Phone (509) 758-8811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CRNA61662IDMDCertified Registered Nurse Anesthetist
AP60474280WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Valley Hospital & Clinics Inc. Current Accepting new patients
Eye Care Specialists PS Current Accepting new patients
Eye Care Specialists PS CurrentSince Jan 1, 2026 Accepting new patients

Locations

301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555

500 Port Dr
Clarkston, WA 99403
Phone (509) 758-8811

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1043623309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "GRANGEVILLE",
            "state": "ID",
            "postal_code": "835300267",
            "telephone_number": "208-413-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CEDAR ST",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835449029",
            "telephone_number": "208-476-5777",
            "fax_number": "208-476-5385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-414-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Port Dr",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "WA",
            "postal_code": "994031835",
            "country_code": "US",
            "telephone_number": "509-758-8811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIENESCH",
        "first_name": "JULIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60474280",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "CRNA61662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "MUENCH",
            "prefix": "MISS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orofino, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.