Active NPI
James Carlton Prince III, CRNA
- Certified Registered Nurse Anesthetist
- Seattle, WA
National Provider Identifier
1356694244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60616023
- Practice address
- 1229 Madison St
Ste 1440
Seattle, WA 98104-3538 - Phone
- (206) 625-0578
- Fax
- (206) 625-9184
- NPI assigned
- Oct 17, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9236268 | FL | |
| Registered Nurse | 163W00000X | 2282711 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | 2282711 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP60616023 | WA | Primary |
Addresses
Primary practice location
1229 Madison St
Ste 1440
Seattle, WA 98104-3538
Mailing address
1229 Madison St
Ste 1440
Seattle, WA 98104-3538
Phone (206) 625-0578
Other practice location 1
155 Lilly Rd NE Ste B
Olympia, WA 98506-5028
Phone (206) 538-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9236268 | FL | MD | Registered Nurse |
| 2282711 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Sports and Spine | Past | Accepting new patients |
Locations
11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Clinic/Center
- Bellevue, WA
- NPI 1598255903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1356694244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 MADISON ST",
"address_2": "STE 1440",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043538",
"telephone_number": "206-625-0578",
"fax_number": "206-625-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 MADISON ST",
"address_2": "STE 1440",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043538",
"telephone_number": "206-625-0578",
"fax_number": "206-625-9184"
}
],
"practiceLocations": [
{
"address_1": "155 Lilly Rd NE Ste B",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985065028",
"country_code": "US",
"telephone_number": "206-538-6300",
"fax_number": "206-538-6301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRINCE",
"first_name": "JAMES",
"middle_name": "CARLTON",
"name_suffix": "III",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-17",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9236268",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "2282711",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "2282711",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60616023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.