Individual provider Active NPI

David Kapplan, CRNA

  • Certified Registered Nurse Anesthetist
  • Sunnyside, WA
National Provider Identifier
1285145540
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60786821 Issued in WA
Practice address
1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone
(509) 837-1500
NPI assigned
Oct 13, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP60786821 WA Primary

Addresses

Primary practice location

1016 Tacoma Ave
Sunnyside, WA 98944-2263

Mailing address

PO Box 905
St Johnsbury, VT 05819-0905
Phone (802) 748-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CT, VT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180112001508 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244599561 Reassigns benefits to 1 organization
I20190709001935 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244599561 Reassigns benefits to 2 organizations
I20200925000786 VT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244599561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1315 Hospital Dr
St Johnsbury, VT 05819-9210
Phone (802) 748-8141

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Anesthesia Associates PC CurrentSince Apr 15, 2019 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital Inc Current Accepting new patients
Charter Anesthesiology LLC CurrentSince Jan 1, 2020 Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Sep 14, 2020 Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Sep 14, 2020 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Evergreen Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2017 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients

Locations

701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1285145540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058190905",
            "telephone_number": "802-748-8141",
            "fax_number": "802-748-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 TACOMA AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442263",
            "telephone_number": "509-837-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPLAN",
        "first_name": "DAVID",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60786821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.