Active NPI
Brian R. Knopp, CRNA, BSN, MSN
- Certified Registered Nurse Anesthetist
- Omak, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60451290
- Practice address
- 810 Jasmine St
Omak, WA 98841 - Phone
- (509) 826-1750
- NPI assigned
- Apr 30, 2014
- Last updated
- Apr 30, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP60451290 | WA | Primary |
Addresses
Primary practice location
810 Jasmine St
Omak, WA 98841
Mailing address
PO Box 793
810 Jasmine St
Omak, WA 98841-0793
Phone (509) 826-1760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111
640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Certified Registered Nurse, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1904 | HI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| AP60451290 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Management Services of California Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Koolau Anesthesia Group, LLC | Current | Accepting new patients | |
| Pec Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900
1401 S Beretania St
Ste 200
Honolulu, HI 96814
Phone (808) 312-6700
640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326
642 Ulukahiki St
Ste 200
Kailua, HI 96734
Phone (808) 218-6850
1029 Makolu St
Ste H
Pearl City, HI 96782
Phone (808) 456-6420
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Ukiah, CA
- NPI 1003458704
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kaneohe, HI
- NPI 1265184352
-
- Certified Registered Nurse Anesthetist
- Pearl City, HI
- NPI 1528305208
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
-
dba Adventist Health Ukiah Valley
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1649680620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 793",
"address_2": "810 JASMINE ST",
"city": "OMAK",
"state": "WA",
"postal_code": "988410793",
"telephone_number": "509-826-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 JASMINE ST",
"city": "OMAK",
"state": "WA",
"postal_code": "98841",
"telephone_number": "509-826-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOPP",
"first_name": "BRIAN",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "CRNA, BSN, MSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-30",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60451290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omak, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.