NPIMap

Organization Active NPI

Eric Elsemore Crna LLC

  • Certified Registered Nurse Anesthetist
  • North Bend, WA
National Provider Identifier
1699073635
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30005759 Issued in WA
Legal business name
ERIC ELSEMORE CRNA LLC
Practice address
15535 477TH Ave SE
North Bend, WA 98045-8666
Phone
(425) 888-8588
NPI assigned
Feb 28, 2011
Last updated
Feb 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Eric Andrew Elsemore, CRNA
Title
Owner
Phone
(425) 888-8588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X AP30005759 WA Primary

Addresses

Primary practice location

15535 477TH Ave SE
North Bend, WA 98045-8666

Mailing address

PO Box 471
North Bend, WA 98045-0471

Other names 1

  • Eric Elsemore CNRA Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1699073635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980450471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15535 477TH AVE SE",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458666",
            "telephone_number": "425-888-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC ELSEMORE CRNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "ELSEMORE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-888-8588",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30005759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eric Elsemore CNRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.