Active NPI
Jennifer Ashley Reedal, CRNA
- Certified Registered Nurse Anesthetist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 202201579
- Practice address
- 2823 Fresno St
Fresno, CA 93721-1324 - Phone
- (559) 459-6000
- NPI assigned
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 202201579 | OR | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 95000957 | CA |
Addresses
Primary practice location
2823 Fresno St
Fresno, CA 93721-1324
Mailing address
2203 E Carnoustie Ave
Fresno, CA 93730-5153
Phone (541) 953-8452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 615
Portland, OR 97210-2977
Phone (503) 229-7137
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000957 | CA | MD | Certified Registered Nurse Anesthetist |
| 202201579 | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia LLC | Single Specialty | Current | Accepting new patients |
| Complete Anesthesia Care LLC | Single Specialty | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Washington - TCS | Single Specialty | Current | Accepting new patients |
| Anesthesia Associates Northwest LLC | Single Specialty | Current | Accepting new patients |
| Somnus Anesthesia Northwest | Single Specialty | Past | Accepting new patients |
Locations
1111 NE 99th Ave
Ste 302
Portland, OR 97220
Phone (503) 963-2707
9200 SE 91st Ave
Ste 100
Portland, OR 97086
Phone (503) 722-6160
1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137
700 NE Multnomah St
Ste 1650
Portland, OR 97232
Phone (503) 734-1850
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
1130 NW 22nd Ave
Ste 615
Portland, OR 97210
Phone (503) 229-7137
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081
Interoperability endpoints
- jreedal3166848@oc.providencedirect.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Portland, OR
- NPI 1932464492
Single Specialty
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Single Specialty
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Happy Valley, OR
- NPI 1912737719
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1558843326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 E CARNOUSTIE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937305153",
"telephone_number": "541-953-8452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2823 FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211324",
"telephone_number": "559-459-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDAL",
"first_name": "JENNIFER",
"middle_name": "ASHLEY",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "202201579",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95000957",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.