Quest Ketamine Therapies PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

QUEST KETAMINE THERAPIES PLLC

Practice address

22525 SE 64TH PL
Issaquah, WA 98027-5383

Phone

(206) 245-7552

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Mitchelle Keszler, MD

Title

Crna

Phone

(206) 245-7552

Specialties & licenses 1

Addresses

Other names 1

• Quest Ketamine Therapies PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Edward Keszler, CRNA

  • Certified Registered Nurse Anesthetist
  • Spokane, WA
  • NPI 1578878153

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1376243642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24622 214TH AVE SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388507",
            "telephone_number": "206-245-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22525 SE 64TH PL",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275383",
            "telephone_number": "206-245-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST KETAMINE THERAPIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "KESZLER",
        "authorized_official_first_name": "MITCHELLE",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "206-245-7552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quest Ketamine Therapies PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jamie Rye Anne Pumpian, DPT
• Jasmeet Punia, BDS
• Rafael Putnam, RT/R
• Xunyi Qian
• Mary Ellen Quan, O.D.
• Quest Physical Therapy, LLC
• Thomas Ray Quickstad, DDS, PLLC
• Caitlin Marie Quinn, DPT
• Jessica J. Quinn, DPT
• Andrea V Quintanares, COTA/L

• Certified Registered Nurse Anesthetist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.