Active NPI
Timothy E Beeman, CRNA
- Certified Registered Nurse Anesthetist
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60585194
- Practice address
- 3927 Rucker Ave
Everett, WA 98201-4833 - Phone
- (425) 317-3950
- NPI assigned
- Feb 22, 2012
- Last updated
- Dec 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209009399 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | AP60585194 | WA | Primary |
Addresses
Primary practice location
3927 Rucker Ave
Everett, WA 98201-4833
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 317-3950
Other practice location 1
3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209-009399 | Other | IL | CRNA LICENSE |
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60585194 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Providence Wa Anesthesia Services, P.C. | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients |
Locations
21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419
11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500
501 N 34th St
Ste 101
Seattle, WA 98103
Phone (206) 838-1777
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Anesthesiology Physician
- Everett, WA
- NPI 1669615894
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, WA
-
- Certified Registered Nurse Anesthetist
- Kirkland, WA
- NPI 1962935197
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1336412337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-317-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3927 RUCKER AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014833",
"telephone_number": "425-317-3950"
}
],
"practiceLocations": [
{
"address_1": "3333 N Seminary St",
"address_purpose": "LOCATION",
"city": "Galesburg",
"state": "IL",
"postal_code": "614011251",
"country_code": "US",
"telephone_number": "309-344-3161",
"fax_number": "309-344-9498",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEEMAN",
"first_name": "TIMOTHY",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-22",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209009399",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60585194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA LICENSE",
"identifier": "209-009399",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.