Active NPI
Deborah J. Mauro, CRNA
- Certified Registered Nurse Anesthetist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30006495
- Practice address
- 414 6TH Ave
Tacoma, WA 98402-2332 - Phone
- (253) 260-7060
- NPI assigned
- May 19, 2006
- Last updated
- Mar 10, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP30006495 | WA | Primary |
| Registered Nurse | 163W00000X | RN0083064 | WA |
Addresses
Primary practice location
414 6TH Ave
Tacoma, WA 98402-2332
Mailing address
38021 Bay St NE
Hansville, WA 98340-7736
Phone (208) 596-3535
Other practice location 1
700 S Main St
Moscow, ID 83843-3056
Phone (208) 882-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9650623 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0083064 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Aesthetic Surgery Centre, PLLC | Current | Accepting new patients |
Locations
2202 S Cedar St
Ste 100
Tacoma, WA 98405
Phone (253) 627-2900
2202 S Cedar St
Ste 150
Tacoma, WA 98405
Phone (253) 627-2900
Organizations & group practices 1
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.
-
dba Cedar Laser and Surgery Center
- Ambulatory Surgical Clinic/Center
- Tacoma, WA
- NPI 1821379538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1447203328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38021 BAY ST NE",
"city": "HANSVILLE",
"state": "WA",
"postal_code": "983407736",
"telephone_number": "208-596-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 6TH AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984022332",
"telephone_number": "253-260-7060"
}
],
"practiceLocations": [
{
"address_1": "700 S Main St",
"address_purpose": "LOCATION",
"city": "Moscow",
"state": "ID",
"postal_code": "838433056",
"country_code": "US",
"telephone_number": "208-882-4511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAURO",
"first_name": "DEBORAH",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30006495",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN0083064",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9650623",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.