Individual provider Active NPI

Heather L Morris, CRNA

  • Certified Registered Nurse Anesthetist
  • Everett, WA
National Provider Identifier
1588966725
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60331200 Issued in WA
Practice address
1001 N Broadway
Everett, WA 98201-1586
Phone
(206) 498-9420
NPI assigned
Nov 19, 2010
Last updated
Jul 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP60331200 WA Primary
Certified Registered Nurse Anesthetist 367500000X 201360013CRNA OR
Registered Nurse 163W00000X 201040709RN OR
Registered Nurse 163W00000X RN00176777 WA

Addresses

Primary practice location

1001 N Broadway
Everett, WA 98201-1586

Mailing address

1240 6TH PL S
Edmonds, WA 98020-4695
Phone (206) 498-9420

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130618000230 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012156318 Reassigns benefits to 2 organizations
I20131022000480 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012156318 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201360013CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince May 4, 2013 Accepting new patients
Providence Health & Services Oregon CurrentSince May 4, 2013 Accepting new patients
Providence Wa Anesthesia Services, P.C. CurrentSince Aug 15, 2013 Accepting new patients
Advanced Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 26, 2017 Accepting new patients
King County Public Hospital District No. 2 Past Accepting new patients

Locations

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1145 Broadway
Seattle, WA 98122

35302 SE Center St
Snoqualmie, WA 98065
Phone (425) 216-8810

Organizations & group practices 6

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": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1588966725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 6TH PL S",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204695",
            "telephone_number": "206-498-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011586",
            "telephone_number": "206-498-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60331200",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201360013CRNA",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201040709RN",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00176777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.