Individual provider Active NPI

Julie Anne Chinnock, CRNA, ND

  • Certified Registered Nurse Anesthetist
  • Seattle, WA
National Provider Identifier
1053487355
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60776015 Issued in WA
Practice address
3800 Aurora Ave N Ste 360
Seattle, WA 98103-8721
Phone
(206) 429-5029
Fax
(206) 504-2044
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60824643 WA
Nurse Practitioner 363L00000X AP60776015 WA
Certified Registered Nurse Anesthetist 367500000X AP60776015 WA Primary

Addresses

Primary practice location

3800 Aurora Ave N Ste 360
Seattle, WA 98103-8721

Mailing address

9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (206) 838-1777

Other practice location 1

11800 NE 128th St Ste 100
Kirkland, WA 98034-7208
Phone (425) 899-4500

Other practice location 2

501 N 34th St Ste 101
Seattle, WA 98103-8856
Phone (206) 838-1777

Other practice location 3

21600 Highway 99 Ste 260
Edmonds, WA 98026-8049
Phone (425) 774-2650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180511000627 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284914151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Washington Anesthesia PLLCGroup PAC ID 3678840543, 8 clinicians

Practice addresses (Care Compare)

501 N 34TH St
Suite 101
Seattle, WA 98103-8856
Phone (206) 838-1777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NT60824643WAMDNaturopath
AP60776015WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Ketamine Clinic of Seattle. LLC Nurse Practitioner CurrentSince Feb 27, 2022 Accepting new patients

Locations

3800 Aurora Ave N
Ste 360
Seattle, WA 98103
Phone (206) 429-5029

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1053487355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "206-838-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 AURORA AVE N STE 360",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038721",
            "telephone_number": "206-429-5029",
            "fax_number": "206-504-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11800 NE 128th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980347208",
            "country_code": "US",
            "telephone_number": "425-899-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N 34th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981038856",
            "country_code": "US",
            "telephone_number": "206-838-1777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21600 Highway 99 Ste 260",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980268049",
            "country_code": "US",
            "telephone_number": "425-774-2650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHINNOCK",
        "first_name": "JULIE ANNE",
        "name_prefix": "Dr.",
        "credential": "CRNA, ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60824643",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60776015",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60776015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.