Mary L Muench, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP30004075 Issued in WA

Practice address

500 Port Dr
Clarkston, WA 99403-1835

Phone

(509) 758-8811

Fax

(509) 751-1188

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Clearwater Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Clarkston, WA
  • NPI 1467503557

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Clearwater Vein Care Center PC

  • Specialist
  • Lewiston, ID
  • NPI 1174693196
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1649361007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "GRANGEVILLE",
            "state": "ID",
            "postal_code": "83530",
            "telephone_number": "208-413-8744",
            "fax_number": "208-983-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PORT DR",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994031835",
            "telephone_number": "509-758-8811",
            "fax_number": "509-751-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUENCH",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00084325",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30004075",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "18343",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-45A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8041095",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9635053",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen M Monroe, OTR/L
• Enrique C Montana, M.D.
• Rachel Montgomery
• Kayleigh Moyle
• Joseph Farayi Moyosviyi
• Gayle Y Muir, MS
• Shellie Munoz
• My Hearing Centers, LLC
• Meral Nadra, BDS,MDSC,DMSC
• Valarie Jo Nagle, RN

• Certified Registered Nurse Anesthetist in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.