Active NPI
Assured Surgical Assisting LLC
- Registered Nurse First Assistant
- Olympia, WA
National Provider Identifier
1629612544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- Legal business name
- ASSURED SURGICAL ASSISTING LLC
- Practice address
- 3900 Capital Mall Dr SW
Olympia, WA 98502-8654 - Phone
- (360) 754-5858
- NPI assigned
- Nov 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Thompson, RN,RNFA,CNOR
- Title
- Rnfa
- Phone
- (530) 966-5035
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | Primary |
Addresses
Primary practice location
3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Mailing address
12 Cedar PL
Elma, WA 98541-9418
Phone (530) 966-5035
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse First Assistant
- Olympia, WA
- NPI 1699319897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572825600000",
"number": "1629612544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CEDAR PL",
"city": "ELMA",
"state": "WA",
"postal_code": "985419418",
"telephone_number": "530-966-5035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 CAPITAL MALL DR SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028654",
"telephone_number": "360-754-5858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSURED SURGICAL ASSISTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-04",
"last_updated": "2019-11-04",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "RNFA",
"authorized_official_telephone_number": "530-966-5035",
"authorized_official_credential": "RN,RNFA,CNOR"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.