Active NPI
Jennifer Ross Tanguay, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60215565
- Practice address
- 4564 Somerset Blvd SE
Bellevue, WA 98006-2220 - Phone
- (817) 908-7161
- NPI assigned
- May 11, 2007
- Last updated
- Oct 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 60215565 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | 041358503 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | AP60215565 | WA | Primary |
Addresses
Primary practice location
4564 Somerset Blvd SE
Bellevue, WA 98006-2220
Mailing address
4564 Somerset Blvd SE
Bellevue, WA 98006-2220
Phone (817) 908-7161
Other practice location 1
1101 Madison St Ste 1280
Seattle, WA 98104-3510
Phone (206) 624-6200
Other names 1
- Ms. Jennifer Ross Frische
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041358503 | IL | MD | Certified Registered Nurse Anesthetist |
| 60215565 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Washington | Current | Accepting new patients | |
| Fogle Family Dentistry | Past | Accepting new patients | |
| Eric Elsemore Crna LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 597-4414
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Seattle, WA
- NPI 1700508173
-
- Certified Registered Nurse Anesthetist
- Kirkland, WA
- NPI 1386105633
-
dba University of Washington Medical Center
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
-
- Certified Registered Nurse Anesthetist
- North Bend, WA
- NPI 1699073635
Nurse Anesthetist, Certified Registered
-
- Dentist
- Bremerton, WA
- NPI 1669781977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1114132388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4564 SOMERSET BLVD SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980062220",
"telephone_number": "817-908-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4564 SOMERSET BLVD SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980062220",
"telephone_number": "817-908-7161"
}
],
"practiceLocations": [
{
"address_1": "1101 Madison St Ste 1280",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981043510",
"country_code": "US",
"telephone_number": "206-624-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANGUAY",
"first_name": "JENNIFER",
"middle_name": "ROSS",
"name_prefix": "Mrs.",
"credential": "C.R.N.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "60215565",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041358503",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60215565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "FRISCHE",
"middle_name": "ROSS",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.