United States Army

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0001167107 Issued in VA

Legal business name

UNITED STATES ARMY

Practice address

1814 Beacon CT NE
Tacoma, WA 98422-3469

Phone

(253) 968-0062

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer San Robinson

Title

Crna

Phone

(253) 376-3558

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780754945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 BEACON CT. NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 BEACON CT NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984223469",
            "telephone_number": "253-968-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SAN",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "253-376-3558",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0001167107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• 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.