Active NPI
Chhivly Ngor
- Certified Registered Nurse Anesthetist
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP61596060
- Practice address
- 1700 13TH St
Everett, WA 98201-1689 - Phone
- (425) 922-2623
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP61596060 | WA | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | RN60374926 | WA |
Addresses
Primary practice location
1700 13TH St
Everett, WA 98201-1689
Mailing address
19701 143Rd PL SE
Renton, WA 98058-9438
Phone (425) 922-2623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Johns Hopkins University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 4TH Ave NW
Suite 201
Issaquah, WA 98027-9371
Phone (425) 615-6100
1321 Colby Ave
Everett, WA 98201-1665
Phone (914) 491-9495
Hospital & facility affiliations
- Providence Regional Medical Center Everett
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61596060 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Wa Anesthesia Services, P.C. | Current | Accepting new patients | |
| Advanced Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
1700 13th St
Everett, WA 98201
Phone (425) 252-0895
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
1301 4th Ave NW
Ste 201
Issaquah, WA 98027
Phone (425) 270-3713
17930 Talbot Rd S
Renton, WA 98055
Phone (425) 228-3187
1145 Broadway
Seattle, WA 98122
35302 SE Center St
Snoqualmie, WA 98065
Phone (425) 216-8810
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Bellevue, WA
- NPI 1700211786
Nurse Anesthetist, Certified Registered, WA
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1740850239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19701 143RD PL SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980589438",
"telephone_number": "425-922-2623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 13TH ST",
"city": "EVERETT",
"state": "WA",
"postal_code": "982011689",
"telephone_number": "425-922-2623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGOR",
"first_name": "CHHIVLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61596060",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WA",
"license": "RN60374926",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.