Active NPI
Brian D Nygard, CRNA
- Certified Registered Nurse Anesthetist
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP61079172
- Practice address
- 6703 W Rio Grande Ave
Kennewick, WA 99336-2623 - Phone
- (509) 460-5588
- Fax
- (509) 783-5438
- NPI assigned
- Apr 27, 2020
- Last updated
- Feb 17, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP61079172 | WA | Primary |
| Registered Nurse | 163W00000X | 241219-30 | WI | |
| Registered Nurse | 163W00000X | RN61063905 | WA |
Addresses
Primary practice location
6703 W Rio Grande Ave
Kennewick, WA 99336-2623
Mailing address
6703 W Rio Grande Ave
Kennewick, WA 99336-2623
Phone (509) 460-5588
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
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61063905 | WA | MD | Registered Nurse |
| 241219-30 | WI | MD | Registered Nurse |
| AP61079172 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-City Orthopaedic Clinic, P S C | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tri-City Orthopaedic Clinic P S C | Current | Accepting new patients |
Locations
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
6703 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 460-5588
900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, WA
-
- Orthopaedic Surgery Physician
- Kennewick, WA
- NPI 1215020144
-
dba The Surgery Center at TCO (Kennewick)
- Ambulatory Surgical Clinic/Center
- Kennewick, WA
- NPI 1720495708
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1225659634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6703 W RIO GRANDE AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362623",
"telephone_number": "509-460-5588",
"fax_number": "509-783-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6703 W RIO GRANDE AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362623",
"telephone_number": "509-460-5588",
"fax_number": "509-783-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYGARD",
"first_name": "BRIAN",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-27",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61079172",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "241219-30",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61063905",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.