Individual provider Active NPI

Jennifer Ross Tanguay, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Bellevue, WA
National Provider Identifier
1114132388
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60215565 Issued in WA
Practice address
4564 Somerset Blvd SE
Bellevue, WA 98006-2220
Phone
(817) 908-7161
NPI assigned
May 11, 2007
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
041358503ILMDCertified Registered Nurse Anesthetist
60215565WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.