Active NPI
Alexander Corbitt, CRNA
- Certified Registered Nurse Anesthetist
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP61317489
- Practice address
- 510 State Ave NE Unit 102B
Olympia, WA 98501-1175 - Phone
- (678) 634-9694
- NPI assigned
- Apr 12, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60768328 | WA | |
| Registered Nurse | 163W00000X | RN250862 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP61317489 | WA | Primary |
Addresses
Primary practice location
510 State Ave NE Unit 102B
Olympia, WA 98501-1175
Mailing address
2075 N Cambridge Ave Apt 203
Milwaukee, WI 53202-0015
Phone (678) 634-9694
Other practice location 1
209 Lilly Rd NE
Olympia, WA 98506-5030
Phone (360) 413-8250
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3901 Capital Mall Dr SW
Suite D
Olympia, WA 98502-8654
Phone (360) 709-6221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN250862 | GA | MD | Registered Nurse |
| RN60768328 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates Clinical Practice, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rainier Anesthesia Associates PC | Current | Accepting new patients | |
| Olympia Orthopaedic Associates, PLLC | Current | Accepting new patients | |
| Olympia Orthopaedic Associates PLLC | Current | Accepting new patients | |
| Capital Medical Center Specialty Physicians, LLC | Current | Accepting new patients | |
| Advanced Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
3901 Capital Mall Dr SW
Ste D
Olympia, WA 98502
Phone (360) 709-6221
3901 Capital Mall Dr SW
Ste B
Olympia, WA 98502
Phone (360) 528-8571
209 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8250
3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743
615 Lilly Rd NE
Ste 240
Olympia, WA 98506
Phone (360) 413-3850
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099
1145 Broadway
Seattle, WA 98122
35302 SE Center St
Snoqualmie, WA 98065
Phone (425) 216-8810
1610 Bishop Rd SW
Tumwater, WA 98512
Phone (360) 754-3338
Interoperability endpoints
- alexander.corbitt.1@5512.direct.athenahealth.com
- https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Ambulatory Surgical Clinic/Center
- Olympia, WA
- NPI 1083785398
-
- Certified Registered Nurse Anesthetist
- Bellevue, WA
- NPI 1700211786
Nurse Anesthetist, Certified Registered
-
- Occupational Medicine Physician
- Olympia, WA
- NPI 1760785281
-
- Gastroenterology Physician
- Olympia, WA
- NPI 1811556442
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Puyallup, WA
- NPI 1487637013
-
- Durable Medical Equipment & Medical Supplies
- Centralia, WA
- NPI 1134089576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1346982170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 N CAMBRIDGE AVE APT 203",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532020015",
"telephone_number": "678-634-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 STATE AVE NE UNIT 102B",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011175",
"telephone_number": "678-634-9694"
}
],
"practiceLocations": [
{
"address_1": "209 Lilly Rd NE",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985065030",
"country_code": "US",
"telephone_number": "360-413-8250",
"fax_number": "360-413-8830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORBITT",
"first_name": "ALEXANDER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-12",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60768328",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN250862",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61317489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.