Active NPI
Stanley Kenneth Thompson, CRNA
- Certified Registered Nurse Anesthetist
- Mount Vernon, WA
National Provider Identifier
1487689667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30000120
- Practice address
- 111 S 13TH St
Mount Vernon, WA 98274-4105 - Phone
- (360) 336-2178
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | AP30000120 | WA | Primary |
Addresses
Primary practice location
111 S 13TH St
Mount Vernon, WA 98274-4105
Mailing address
PO Box 2329
Mount Vernon, WA 98273-7329
Phone (360) 336-6517
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430018589 | Other | WA | RAILROAD MEDICARE |
| 0068328 | Other | WA | DEPARTMENT OF LAOBR AND INDUSTRIES |
| 9604257 | Medicaid | WA | |
| TH4255 | Other | WA | REGENCE BLUE SHIELD |
| 06755 | Other | WA | REGENCE BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1487689667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2329",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982737329",
"telephone_number": "360-336-6517",
"fax_number": "360-466-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 13TH ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744105",
"telephone_number": "360-336-2178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "STANLEY",
"middle_name": "KENNETH",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30000120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430018589",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LAOBR AND INDUSTRIES",
"identifier": "0068328",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9604257",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "TH4255",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "06755",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.