Active NPI
Nancy L Anderson, CRNA
- Certified Registered Nurse Anesthetist
- Chehalis, WA
National Provider Identifier
1386679199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30000186
- Practice address
- 2517 NE Kresky Ave
Chehalis, WA 98532-2409 - Phone
- (360) 748-8632
- Fax
- (360) 748-8632
- NPI assigned
- Jul 11, 2006
- Last updated
- May 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP30000186 | WA | Primary |
Addresses
Primary practice location
2517 NE Kresky Ave
Chehalis, WA 98532-2409
Mailing address
PO Box 1506
Chehalis, WA 98532-0409
Phone (360) 242-3008
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430057466 | Other | WA | RAILROAD MEDICARE |
| 430057470 | Other | OR | RAILROAD MEDICARE |
| 430057468 | Other | WA | RAILROAD MEDICARE |
| 430057465 | Other | ID | RAILROAD MEDICARE |
| 430024324 | Other | WA | RAILROAD MEDICARE |
| 430057469 | Other | AK | RAILROAD MEDICARE |
| 430072800 | Other | ID | RAILROAD MEDICARE |
| 430072989 | Other | MT | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Cataract and Laser Institute Inc PC | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute Inc PC | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute Inc PC | Past | Accepting new patients |
Locations
2822 S Vista Ave
Boise, ID 83705
Phone (208) 385-7576
2517 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 748-8632
6695 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 736-0826
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Chehalis, WA
- NPI 1487821633
-
- Ambulatory Surgical Clinic/Center
- Boise, ID
- NPI 1275700957
-
- Ambulatory Surgical Clinic/Center
- Bellevue, WA
- NPI 1306013925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274400000000",
"number": "1386679199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1506",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985320409",
"telephone_number": "360-242-3008",
"fax_number": "360-807-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 NE KRESKY AVE",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985322409",
"telephone_number": "360-748-8632",
"fax_number": "360-748-8632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "NANCY",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2010-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30000186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430057466",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430057470",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430057468",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430057465",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430024324",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430057469",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430072800",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430072989",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.