Active NPI
Jennifer Lea Rickley, CRNA
- Certified Registered Nurse Anesthetist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP61418053
- Practice address
- 1100 9TH Ave
Seattle, WA 98101-2756 - Phone
- (206) 223-6980
- Fax
- (206) 223-6982
- NPI assigned
- Mar 29, 2019
- Last updated
- Jul 1, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 963411 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP141412 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP61418053 | WA | Primary |
Addresses
Primary practice location
1100 9TH Ave
Seattle, WA 98101-2756
Mailing address
PO Box 741515
Los Angeles, CA 90074-1515
Other practice location 1
3705 Medical Pkwy Ste 570
Austin, TX 78705-1024
Phone (512) 454-2554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 223-6600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 963411 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Providence Health & Service- Washington | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients |
Locations
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
dba Providence Anesthesia Services
- Anesthesiology Physician
- Spokane, WA
- NPI 1508118555
-
dba Virginia Mason Medical Center-Crnas
- Certified Registered Nurse Anesthetist
- Seattle, WA
- NPI 1164586020
Nurse Anesthetist, Certified Registered
-
dba St Joseph Medical Center
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1568923704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741515",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900741515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-223-6980",
"fax_number": "206-223-6982"
}
],
"practiceLocations": [
{
"address_1": "3705 Medical Pkwy Ste 570",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787051024",
"country_code": "US",
"telephone_number": "512-454-2554",
"fax_number": "512-454-2824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICKLEY",
"first_name": "JENNIFER",
"middle_name": "LEA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-29",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "963411",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP141412",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61418053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.