Active NPI
Robert Edwards, CRNA
- Certified Registered Nurse Anesthetist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60931413
- Practice address
- 209 Martin Luther King Jr Way
Tacoma, WA 98405-4265 - Phone
- (253) 596-3300
- NPI assigned
- Oct 23, 2015
- Last updated
- Apr 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA95000351 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP60931413 | WA | Primary |
Addresses
Primary practice location
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Mailing address
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1145 Broadway
Seattle, WA 98122-4201
Phone (425) 615-6100
1301 4TH Ave NE
Suite 301
Issaquah, WA 98027-9369
Phone (425) 454-4768
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA95000351 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Virginia Mason Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Public Hospital District No 1 of Mason County | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Washington Gastroenterology PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Public Hospital District No 1 of Mason County Wa | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Paceline Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Rainier Anesthesia Associates PC | Current | Accepting new patients | |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Advanced Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients | |
| Northwest Endoscopy Center, LLC | Past | Accepting new patients | |
| Eastside Medical Group, LLC | Past | Accepting new patients | |
| Columbia Lutheran Charities | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321
833 Bennett Ave
Medford, OR 97504
Phone (541) 608-1994
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
2435 NW Kline St
Roseburg, OR 97471
Phone (541) 672-2020
1330 Commercial St SE
Salem, OR 97302
Phone (503) 763-1973
3355 Riverbend Dr
#510
Springfield, OR 97477
Phone (541) 868-9555
1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335
3726 Broadway
Ste 206
Everett, WA 98201
Phone (425) 374-5160
1301 4th Ave NW
Ste 201
Issaquah, WA 98027
Phone (425) 270-3713
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660
104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099
1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933
1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
1145 Broadway
Seattle, WA 98122
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860
901 Mountain View Dr
Bldg 1
Shelton, WA 98584
Phone (360) 426-1611
35302 SE Center St
Snoqualmie, WA 98065
Phone (425) 216-8810
209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
8506 E Mill Plain Blvd
Ste C
Vancouver, WA 98664
Phone (360) 823-0880
Organizations & group practices 22
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.
-
- Certified Registered Nurse Anesthetist
- Bellevue, WA
- NPI 1700211786
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Tacoma, WA
- NPI 1306364401
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Certified Registered Nurse Anesthetist
- Bellevue, WA
- NPI 1417273780
Nurse Anesthetist, Certified Registered
-
dba Mason General Hospital Anesthesia Services
- Certified Registered Nurse Anesthetist
- Shelton, WA
- NPI 1164650032
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Puyallup, WA
- NPI 1487637013
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
dba Columbia Memorial Hospital
- Critical Access Hospital
- Astoria, OR
- NPI 1134146939
-
dba Columbia Memorial Hospital
- Surgery Physician
- Astoria, OR
- NPI 1821254129
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1639541196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054265",
"telephone_number": "253-596-3300",
"fax_number": "253-596-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054265",
"telephone_number": "253-596-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "ROBERT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-23",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA95000351",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60931413",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "209 Martin Luther King Jr Way",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984054265",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.