Active NPI
Keystone Anesthesia Inc
- Certified Registered Nurse Anesthetist
- Yakima, WA
National Provider Identifier
1265929004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 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 DirectoryLocations
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.