Individual provider Active NPI

Adam Gemmill Kearns, CRNA

  • Certified Registered Nurse Anesthetist
  • Portland, OR
National Provider Identifier
1790725950
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
200760019CRNA Issued in OR
Practice address
7409 SE Sherrett St
Portland, OR 97206-8675
Phone
(215) 262-4718
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Certified Registered Nurse Anesthetist 367500000X AP30007764 WA
Registered Nurse 163W00000X RN00173377 WA
Certified Registered Nurse Anesthetist 367500000X 200760019CRNA OR Primary
Registered Nurse 163W00000X 20074175RN OR

Addresses

Primary practice location

7409 SE Sherrett St
Portland, OR 97206-8675

Mailing address

7409 SE Sherrett St
Portland, OR 97206-8675
Phone (215) 262-4718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
20074175RNORMDRegistered Nurse
200760019CRNAORMDCertified Registered Nurse Anesthetist
AP30007764WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Narrows Anesthesia Services PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates Northwest LLC Past Accepting new patients
Perioperative Medicine and Anesthesia PC Past Accepting new patients
Trenton Anesthesiology Associates PA Nurse Anesthetist, Certified Registered PastSince Oct 1, 2004 Accepting new patients
Sedation Services Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: akearns111333@direct.ohsu.edu

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1790725950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 SE SHERRETT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972068675",
            "telephone_number": "215-262-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 SE SHERRETT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972068675",
            "telephone_number": "215-262-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "ADAM",
        "middle_name": "GEMMILL",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30007764",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00173377",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "200760019CRNA",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "20074175RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.