Individual provider Active NPI

Ann Doherty Whitney, CRNA

  • Certified Registered Nurse Anesthetist
  • Bellingham, WA
National Provider Identifier
1518153535
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30006414 Issued in WA
Practice address
3001 Squalicum Pkwy
Ste. 5
Bellingham, WA 98225-1949
Phone
(360) 676-0972
NPI assigned
Sep 24, 2007
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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 AP30006414 WA Primary

Addresses

Primary practice location

3001 Squalicum Pkwy
Ste. 5
Bellingham, WA 98225-1949

Mailing address

3001 Squalicum Pkwy
Ste. 5
Bellingham, WA 98225-1949
Phone (360) 676-0972

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208001222 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709842966 Reassigns benefits to 1 organization
Practice locations: Bellingham, WA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
157388MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Salish Sedation Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 20, 2020 Accepting new patients
Northwest Gastroenterology Professional LLC PastSince Aug 5, 1998 Accepting new patients
Northwest Endoscopy Center, LLC PastSince Oct 20, 2020 Accepting new patients

Locations

2930 Squalicum Pkwy
Ste 202
Bellingham, WA 98225
Phone (360) 734-1420

3111 Woburn St
Ste 201
Bellingham, WA 98226
Phone (360) 543-5054

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.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1518153535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SQUALICUM PKWY",
            "address_2": "STE. 5",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251949",
            "telephone_number": "360-676-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SQUALICUM PKWY",
            "address_2": "STE. 5",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251949",
            "telephone_number": "360-676-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "ANN",
        "middle_name": "DOHERTY",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30006414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.