Organization Active NPI

Capital Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Olympia, WA
National Provider Identifier
1538528682
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60308168 Issued in WA
Legal business name
CAPITAL ANESTHESIA, LLC
Practice address
4220 20TH LN NW
Olympia, WA 98502-8522
Phone
(801) 580-7868
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Mr. Erik C Engen, APRN, CRNA
Title
Nurse Anesthesiologist
Phone
(801) 580-7868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X AP60308168 WA Primary

Addresses

Primary practice location

4220 20TH LN NW
Olympia, WA 98502-8522

Mailing address

4220 20TH LN NW
Olympia, WA 98502-8522
Phone (801) 580-7868

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1538528682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 20TH LN NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028522",
            "telephone_number": "801-580-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 20TH LN NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028522",
            "telephone_number": "801-580-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "ENGEN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NURSE ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "801-580-7868",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN, CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60308168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.