Individual provider Active NPI

Robert Edwards, CRNA

  • Certified Registered Nurse Anesthetist
  • Tacoma, WA
National Provider Identifier
1639541196
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60931413 Issued in WA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190620003111 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466786736 Reassigns benefits to 8 organizations
I20240108004626 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466786736 Reassigns benefits to 3 organizations

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
Advanced Anesthesia Services PLLCGroup PAC ID 6608159017, 39 clinicians
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians

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

LicenseStateTypeSpecialty
NA95000351CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Lutheran Charities CurrentSince Jan 1, 2024 Accepting new patients
Columbia Lutheran Charities Current Accepting new patients
Virginia Mason Medical Center Nurse Anesthetist, Certified Registered CurrentSince Apr 25, 2024 Accepting new patients
Public Hospital District No 1 of Mason County Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2019 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Sep 9, 2025 Accepting new patients
Washington Gastroenterology PLLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Jun 15, 2019 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Sep 1, 2019 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Paceline Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 8, 2025 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Sep 9, 2025 Accepting new patients
Rainier Anesthesia Associates PC CurrentSince Apr 1, 2020 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Dec 11, 2023 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Sep 1, 2019 Accepting new patients
Advanced Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Columbia Lutheran Charities CurrentSince Jan 1, 2024 Accepting new patients
Virginia Mason Medical Center CurrentSince Apr 25, 2024 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Northwest Endoscopy Center, LLC Past Accepting new patients
Eastside Medical Group, LLC PastSince May 1, 2025 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.

View all 22

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.

Verify at the official NPI Registry.