Active NPI
Spencer W Soffe, CRNA
- Certified Registered Nurse Anesthetist
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60331329
- Practice address
- 406 S 30TH Ave
Suite 202
Yakima, WA 98902-3713 - Phone
- (509) 972-1051
- Fax
- (509) 972-4166
- NPI assigned
- Feb 26, 2013
- Sex
- Male
- Sole proprietor
- No
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 | AP60331329 | WA | Primary |
Addresses
Primary practice location
406 S 30TH Ave
Suite 202
Yakima, WA 98902-3713
Mailing address
406 S 30TH Ave
Suite 202
Yakima, WA 98902-3713
Phone (509) 972-1051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Georgetown University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone (509) 837-1500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Physician Anesthesia Assoc Inc PS | Past | Accepting new patients |
Locations
1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682
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.
-
- Certified Registered Nurse Anesthetist
- Sunnyside, WA
- NPI 1225575996
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Yakima, WA
- NPI 1457432791
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kittitas Valley Community Hospital
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1104166206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 S 30TH AVE",
"address_2": "SUITE 202",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023713",
"telephone_number": "509-972-1051",
"fax_number": "509-972-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 S 30TH AVE",
"address_2": "SUITE 202",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023713",
"telephone_number": "509-972-1051",
"fax_number": "509-972-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOFFE",
"first_name": "SPENCER",
"middle_name": "W",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-26",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60331329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.