Individual provider Active NPI

Tiffany Leigh Gunderson, CRNA

  • Certified Registered Nurse Anesthetist
  • Spokane Valley, WA
National Provider Identifier
1184960767
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201392745CRNA Issued in OR
Practice address
100 N Mullan Rd Ste 204
Spokane Valley, WA 99206-6848
Phone
(509) 900-6300
NPI assigned
Dec 30, 2012
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 201392745CRNA OR Primary
Certified Registered Nurse Anesthetist 367500000X AP60327805 WA

Addresses

Primary practice location

100 N Mullan Rd Ste 204
Spokane Valley, WA 99206-6848

Mailing address

27809 N Spotted Rd
Deer Park, WA 99006-5102
Phone (541) 706-1434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130424001003 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244476992 Reassigns benefits to 4 organizations
I20210818001987 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244476992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Care Physicians PLLCGroup PAC ID 9537448931, 13 clinicians

Practice addresses (Care Compare)

155 Lilly Rd NE
Suite B
Olympia, WA 98506-5028
Phone (206) 538-6300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chelan County Public Hospital District No 2 CurrentSince Jan 1, 2022 Accepting new patients
Inland Northwest Surgery Center PLLC CurrentSince Mar 1, 2025 Accepting new patients
Pain Care Physicians PLLC CurrentSince Sep 1, 2025 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Mar 11, 2022 Accepting new patients
Inland Northwest Surgery Center PLLC CurrentSince Mar 1, 2025 Accepting new patients
Chelan County Public Hospital District No 2 CurrentSince Jan 1, 2022 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 11, 2021 Accepting new patients
Anesthesia Associates, PS Past Accepting new patients

Locations

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

110 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-3300

155 Lilly Rd NE
Ste B
Olympia, WA 98506

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

801 SW 16th St
Ste 121
Renton, WA 98057
Phone (206) 805-8885

1415 N Houk Rd
Ste B
Spokane Valley, WA 99216
Phone (509) 381-4500

526 N Mullan Rd
Ste A
Spokane Valley, WA 99206
Phone (509) 220-6941

Organizations & group practices 8

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": "1356825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1184960767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27809 N SPOTTED RD",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990065102",
            "telephone_number": "541-706-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MULLAN RD STE 204",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066848",
            "telephone_number": "509-900-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "TIFFANY",
        "middle_name": "LEIGH",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-30",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201392745CRNA",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60327805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.