Individual provider Active NPI

Sara Elizabeth Reddim, CRNA

  • Certified Registered Nurse Anesthetist
  • Seattle, WA
National Provider Identifier
1619312618
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP61148926 Issued in WA
Practice address
1101 Madison St Ste 301
Seattle, WA 98104-3599
Phone
(206) 505-1101
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 092770 PA
Certified Registered Nurse Anesthetist 367500000X 209010658 IL
Certified Registered Nurse Anesthetist 367500000X AP61148926 WA Primary

Addresses

Primary practice location

1101 Madison St Ste 301
Seattle, WA 98104-3599

Mailing address

PO Box 94333
Seattle, WA 98124-6633
Phone (425) 407-1500

Other names 1

  • Sara E Stengl Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130923000018 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092959684 Reassigns benefits to 1 organization
I20210812000226 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092959684 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians
Paceline Anesthesia, PLLCGroup PAC ID 5799853099, 36 clinicians
Rainier Anesthesia Associates PCGroup PAC ID 4284523499, 69 clinicians

Practice addresses (Care Compare)

1135 116TH Ave NE
Suite 400
Bellevue, WA 98004-4632
Phone (425) 454-4768

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 848-6661

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209010658ILMDCertified Registered Nurse Anesthetist
092770PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Eye Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2024 Accepting new patients
Paceline Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2024 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Virginia Mason Medical Center Nurse Anesthetist, Certified Registered CurrentSince Mar 28, 2024 Accepting new patients
Rainier Anesthesia Associates PC CurrentSince Jun 21, 2021 Accepting new patients
Virginia Mason Medical Center CurrentSince Mar 28, 2024 Accepting new patients
University Anesthesiologists SC Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2025 Accepting new patients
Paceline Anesthesia LLC PastSince Jun 9, 2024 Accepting new patients

Locations

1653 W Congress Pkwy
Ste 739
Chicago, IL 60612
Phone (312) 942-3134

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335

1900 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8627

12800 Bothell Everett Hwy
Ste 200
Everett, WA 98208
Phone (206) 259-3122

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

5801 Soundview Dr
Ste 156
Gig Harbor, WA 98335
Phone (253) 268-0720

2100 Little Mountain Ln
Mount Vernon, WA 98274
Phone (360) 416-6735

400 E Pioneer
Ste 101
Puyallup, WA 98372
Phone (253) 445-5828

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099

1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

502 S M St
Tacoma, WA 98405
Phone (253) 301-4953

Organizations & group practices 9

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": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1619312618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94333",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246633",
            "telephone_number": "425-407-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 301",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043599",
            "telephone_number": "206-505-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDIM",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "092770",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209010658",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61148926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "STENGL",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 3, 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.