Active NPI
Allen Ray Sturdevant, CRNA
- Certified Registered Nurse Anesthetist
- Tonasket, WA
National Provider Identifier
1215045307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AR30003006
- Practice address
- 203 S Western Ave
North Valley Hospital
Tonasket, WA 98855 - Phone
- (509) 486-2151
- Fax
- (509) 486-3176
- NPI assigned
- Aug 28, 2006
- 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 | AR30003006 | WA | Primary |
Addresses
Primary practice location
203 S Western Ave
North Valley Hospital
Tonasket, WA 98855
Mailing address
PO Box 1617
Port Angeles, WA 98362
Phone (360) 452-5648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38334 | Other | CRNA CERTIFICATION # |
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 |
|---|---|---|---|
| AR30003006 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Narrows Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Tacoma, WA
- NPI 1801026315
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215045307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1617",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "98362",
"telephone_number": "360-452-5648",
"fax_number": "360-452-5648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 S WESTERN AVE",
"address_2": "NORTH VALLEY HOSPITAL",
"city": "TONASKET",
"state": "WA",
"postal_code": "98855",
"telephone_number": "509-486-2151",
"fax_number": "509-486-3176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURDEVANT",
"first_name": "ALLEN",
"middle_name": "RAY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AR30003006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA CERTIFICATION #",
"identifier": "38334",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tonasket, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.