Jeremy T Adams, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Bellevue, WA
NPI 1669420568 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1669420568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- AP61054516 (WA)
- Practice address
- 1135 116TH Ave NE Ste 570
Bellevue, WA 98004-4632 - Phone
- (253) 797-4908
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2568 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 61053308 | WA | MD | Registered Nurse |
| AP61054516 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oroville Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 61053308 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP61054516 | WA | Yes |
Addresses
Primary practice location
1135 116TH Ave NE Ste 570
Bellevue, WA 98004-4632
Mailing address
PO Box 4189
Chico, CA 95927-4189
Phone (530) 990-5889
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00148619 | Other | RAILROAD MEDICARE (RRM) | |
| RN5104400 | Medicaid | CA |
Other providers in Bellevue, WA
- Adam Cramer DDS Bellevue PLLC
- Adam Sullivan LLC
- Mikel Tomas Adame
- Brittany Adams
- Gaylene Ann Adams
- Kaelyn Adams
- Kelcie Adams
- Lauren Kayleigh Adams
- Lisa M Adams
- Stacey Marie Adams
All providers in Bellevue, WA · Certified Registered Nurse Anesthetist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.