Kirby Lee Olmsted, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

081046618CRNA Issued in OR

Practice address

15631 SW Peavine Rd
McMinnville, OR 97128-8374

Phone

(503) 472-6582

Fax

(503) 472-6582

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Anesthesia Associates Northwest LLC

  • Anesthesiology Physician
  • Milwaukie, OR
  • NPI 1548281751
  NPD (past)
• Willamette Valley Medical Center LLC

  dba Willamette Valley Medical Center

  • Anesthesiologist Assistant
  • McMinnville, OR
  • NPI 1518980457
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1053518365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15631 SW PEAVINE RD",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288374",
            "telephone_number": "503-472-6582",
            "fax_number": "503-472-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15631 SW PEAVINE RD",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288374",
            "telephone_number": "503-472-6582",
            "fax_number": "503-472-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSTED",
        "first_name": "KIRBY",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "081046618CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "62-1766695",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prairie Oak
• Lindsay Obermeyer, MS, RDN, LD
• Irene Ochoa, CADC 1
• Trish Anne Oleary Goldstein, MSW, LCSW, CCIS II
• Bradley Charles Oliver, DMD
• Anastasia Jean Olson
• Ava Jayne Olson
• Rose Olsovsky, LAC
• Yetunde Oluwadare
• Lisa Anne Orback

• Certified Registered Nurse Anesthetist in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Certified Registered Nurse Anesthetist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.