Active NPI
Julia Lysyuk
- Certified Registered Nurse Anesthetist
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 128622
- Practice address
- 400 S 43Rd St
Renton, WA 98055-5714 - Phone
- (425) 228-3450
- NPI assigned
- Nov 15, 2019
- Sex
- Female
- Sole proprietor
- No
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.
-
- Certified Registered Nurse Anesthetist
- Bellevue, WA
- NPI 1700211786
Nurse Anesthetist, Certified Registered, WA
-
- Certified Registered Nurse Anesthetist
- Federal Way, WA
- NPI 1134839319
Nurse Anesthetist, Certified Registered, WA
-
- Gastroenterology Physician
- Tacoma, WA
- NPI 1306364401
Nurse Anesthetist, Certified Registered, WA
-
- Certified Registered Nurse Anesthetist
- Bellevue, WA
- NPI 1417273780
Nurse Anesthetist, Certified Registered, WA
-
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1245265826
-
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1467011122
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Anesthesia Services PLLCWashington Gastroenterology PLLCEvergreen Eye Anesthesia PLLCRainier Anesthesia Associates PC
Practice addresses (Care Compare)
1145 Broadway
Seattle, WA 98122-4201
Phone (425) 615-6100
3209 S 23Rd St
Suite 200
Tacoma, WA 98405-1602
Phone (253) 272-5127
34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (800) 340-3595
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 848-6661
Hospital & facility affiliations
- Multicare Good Samaritan Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200302000035 | WA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3678900701 | Reassigns benefits to 7 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128622 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainier Anesthesia Associates PC | Current | Accepting new patients | |
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Advanced Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Washington Gastroenterology PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Evergreen Eye Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Paceline Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Aesthetic Surgery Centre, PLLC | Current | Accepting new patients |
Locations
1135 116th Ave NE
Ste 400
Bellevue, WA 98004
Phone (425) 454-4644
1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335
1900 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8627
12800 Bothell Everett Hwy
Ste 200
Everett, WA 98208
Phone (206) 259-3122
34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100
5801 Soundview Dr
Ste 156
Gig Harbor, WA 98335
Phone (253) 268-0720
2727 Hollycroft St
Ste 480
Gig Harbor, WA 98335
Phone (253) 858-0112
1301 4th Ave NW
Ste 301
Issaquah, WA 98027
Phone (425) 270-6363
17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
2100 Little Mountain Ln
Mount Vernon, WA 98274
Phone (360) 416-6735
1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933
104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099
1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
1145 Broadway
Seattle, WA 98122
1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230
2202 S Cedar St
Ste 100
Tacoma, WA 98405
Phone (253) 627-2900
2202 S Cedar St
Ste 150
Tacoma, WA 98405
Phone (253) 627-2900
3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508
502 S M St
Tacoma, WA 98405
Phone (253) 301-4953
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 128622 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
400 S 43Rd St
Renton, WA 98055-5714
Mailing address
2967 38TH Ave NE
Tacoma, WA 98422-2601
Phone (206) 931-6766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2019.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1336784131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2967 38TH AVE NE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984222601",
"telephone_number": "206-931-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 43RD ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980555714",
"telephone_number": "425-228-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYSYUK",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "128622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.