Individual provider Active NPI

Rona Deseree Bouzarth, CRNA

  • Certified Registered Nurse Anesthetist
  • Kennewick, WA
National Provider Identifier
1578045332
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
00000 Issued in ID
Practice address
7501 W Deschutes PL Ste B
Kennewick, WA 99336-7719
Phone
(785) 764-9709
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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 00000 ID Primary

Addresses

Primary practice location

7501 W Deschutes PL Ste B
Kennewick, WA 99336-7719

Mailing address

1811 Sagewood Loop
Richland, WA 99352-7718
Phone (785) 764-9709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181105003298 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870846025 Reassigns benefits to 1 organization
I20200915002223 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870846025 Reassigns benefits to 2 organizations

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
Medstream Anesthesia PLLC 571 clinicians

Practice addresses (Care Compare)

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000

Hospital & facility affiliations

  • Trios Health Hospital, Kennewick, WA, CCN 500053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00000IDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 26, 2024 Accepting new patients
Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2022 Accepting new patients
Boise Anesthesia, P a Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2018 Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1733097600000",
    "number": "1578045332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 SAGEWOOD LOOP",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993527718",
            "telephone_number": "785-764-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 W DESCHUTES PL STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367719",
            "telephone_number": "785-764-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUZARTH",
        "first_name": "RONA",
        "middle_name": "DESEREE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.

Verify at the official NPI Registry.