Active NPI
Edward O. Fleming, CRNA
- Certified Registered Nurse Anesthetist
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 094006391CRNA
- Practice address
- 900 S Auburn St
Kennewick, WA 99336-5621 - Phone
- (509) 586-6111
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00081581 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP30005028 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | 094006391CRNA | OR | Primary |
Addresses
Primary practice location
900 S Auburn St
Kennewick, WA 99336-5621
Mailing address
PO Box 34940
Seattle, WA 98124-1940
Phone (503) 372-2740
Other practice location 1
1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9634809 | Medicaid | WA | |
| 004366000 | Medicaid | ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | efleming203929@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1330 Commercial St SE
Salem, OR 97302-4206
Phone (503) 763-1973
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094006391CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Northwest Medical Foundation of Tillamook | Current | Accepting new patients | |
| Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Empire Health Services | Past | Accepting new patients |
Locations
1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260
1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129
Interoperability endpoints
- efleming203929@samhealth.direct-ci.com
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.
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1871575225
-
- Critical Access Hospital
- Sheridan, OR
- NPI 1053873919
-
- Rural Health Clinic/Center
- Lincoln City, OR
- NPI 1811238322
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1336194893
-
- Anesthesiology Physician
- Richland, WA
- NPI 1013940253
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1629024765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34940",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241940",
"telephone_number": "503-372-2740",
"fax_number": "503-372-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S AUBURN ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993365621",
"telephone_number": "509-586-6111"
}
],
"practiceLocations": [
{
"address_1": "1046 6th Ave SW",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "OR",
"postal_code": "973211916",
"country_code": "US",
"telephone_number": "541-812-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEMING",
"first_name": "EDWARD",
"middle_name": "O.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00081581",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30005028",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "094006391CRNA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9634809",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004366000",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "efleming203929@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "1046 6th Ave SW",
"city": "Albany",
"state": "OR",
"country_code": "US",
"postal_code": "973211916",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 20, 2021; 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.