Organization Active NPI

Ohop Valley Anesthesia, Inc.

  • Certified Registered Nurse Anesthetist
  • Tacoma, WA
National Provider Identifier
1720075674
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30004657 Issued in WA
Legal business name
OHOP VALLEY ANESTHESIA, INC.
Practice address
3515 S 15TH St
Tacoma, WA 98405-1952
Phone
(253) 756-0933
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lynn Butler, CRNANPI 1356329684
Title
President
Phone
(360) 832-3020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X AP30004657 WA Primary

Addresses

Primary practice location

3515 S 15TH St
Tacoma, WA 98405-1952

Mailing address

PO Box 955
Eatonville, WA 98328-0955
Phone (360) 832-3020

National Provider Directory

National Provider Directory

Locations

3515 S 15th St
Tacoma, WA 98405
Phone (253) 756-0933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720075674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983280955",
            "telephone_number": "360-832-3020",
            "fax_number": "360-832-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 S 15TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051952",
            "telephone_number": "253-756-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHOP VALLEY ANESTHESIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-832-3020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30004657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 22, 2020; 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.