Individual provider Active NPI

Elizabeth McBeath-Bosch, CRNA

  • Certified Registered Nurse Anesthetist
  • Liberty Lake, WA
National Provider Identifier
1407999261
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30004884 Issued in WA
Practice address
271 N Legacy Ridge Dr
Liberty Lake, WA 99019-7631
Phone
(509) 220-6941
NPI assigned
Feb 14, 2007
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP30004884 WA Primary

Addresses

Primary practice location

271 N Legacy Ridge Dr
Liberty Lake, WA 99019-7631

Mailing address

910 N Washington St
Suite 209
Spokane, WA 99201-2202

Other identifiers 4

IdentifierTypeStateIssuer
RN100006OtherWALICENCE
G000381050OtherWAMDC GROUP #
GAB29359OtherWAMDC PIN #
AP30004884OtherWALICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102000966 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749242618 Reassigns benefits to 1 organization
Practice locations: Spokane Valley, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP30004884WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates, PS CurrentSince May 15, 2016 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Inland Northwest Surgery Center PLLC Past Accepting new patients
Inland Northwest Surgery Center PLLC PastSince Aug 13, 2023 Accepting new patients

Locations

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1407999261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N WASHINGTON ST",
            "address_2": "SUITE 209",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 N LEGACY RIDGE DR",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197631",
            "telephone_number": "509-220-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBEATH-BOSCH",
        "first_name": "ELIZABETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30004884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "RN100006",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDC GROUP #",
            "identifier": "G000381050",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDC PIN #",
            "identifier": "GAB29359",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "AP30004884",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.