Individual provider Active NPI

Kimberly Ann Royter, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Spokane, WA
National Provider Identifier
1629014584
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30005924 Issued in WA
Practice address
800 W 5TH Ave
Spokane, WA 99204-2803
Phone
(509) 701-2902
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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 AP30005924 WA Primary

Addresses

Primary practice location

800 W 5TH Ave
Spokane, WA 99204-2803

Mailing address

707 W 21St Ave
Spokane, WA 99203-1948
Phone (509) 701-2902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051102000159 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193742740 Reassigns benefits to 3 organizations
I20110706000340 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193742740 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30005924WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 10, 2023 Accepting new patients
ASC Northwest LLC CurrentSince Aug 1, 2023 Accepting new patients
Royter Anesthesia Inc. Nurse Anesthetist, Certified Registered CurrentSince Dec 24, 2023 Accepting new patients
Anesthesia Associates, PS CurrentSince Mar 1, 2021 Accepting new patients
Inland Northwest Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients

Locations

850 W Ironwood Dr
Ste 300
Coeur D Alene, ID 83814
Phone (208) 457-7078

4171 W Expo Pkwy
Post Falls, ID 83854
Phone (208) 262-3823

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

34709 9th Ave S
Ste B500
Federal Way, WA 98003
Phone (253) 838-8552

104 W 5th Ave
Ste 250E
Spokane, WA 99204
Phone (509) 838-1547

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

910 W 5th Ave
Ste 300
Spokane, WA 99204
Phone (509) 755-5205

526 N Mullan Rd
Spokane Valley, WA 99206
Phone (509) 924-2600

1414 N Houk Rd
Ste 102
Spokane Valley, WA 99216
Phone (509) 624-2226

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1629014584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W 21ST AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992031948",
            "telephone_number": "509-701-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 5TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042803",
            "telephone_number": "509-701-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYTER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30005924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.