Organization Active NPI

Keystone Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Yakima, WA
National Provider Identifier
1265929004
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
KEYSTONE ANESTHESIA INC
Practice address
1110 N 35TH Ave
Yakima, WA 98902-1622
Phone
(610) 750-6388
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Jeremy Beau Perry, CRNA
Title
President/Owner
Phone
(484) 769-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1110 N 35TH Ave
Yakima, WA 98902-1622

Mailing address

1085 Sirron Ave
Richland, WA 99352-7805

National Provider Directory

National Provider Directory

Locations

512 N Young St
Kennewick, WA 99336
Phone (509) 572-2605

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1265929004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 SIRRON AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993527805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N 35TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021622",
            "telephone_number": "610-750-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE ANESTHESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "BEAU",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "484-769-1555",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.