Active NPI
Kindra Lynch, CRNA
- Certified Registered Nurse Anesthetist
- Longview, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60483959
- Practice address
- 1615 Delaware St
Longview, WA 98632-2367 - Phone
- (360) 636-4878
- NPI assigned
- Jun 26, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP60483959 | WA | Primary |
Addresses
Primary practice location
1615 Delaware St
Longview, WA 98632-2367
Mailing address
1115 SE 164TH Ave
Dept 358
Vancouver, WA 98683-9324
Phone (360) 729-1412
Other practice location 1
2312 NE 129th St
Vancouver, WA 98686-3236
Phone (360) 514-7060
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
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4814
1660 Delware St
Longview, WA 98632-2310
Phone (360) 414-2800
Hospital & facility affiliations
- Peacehealth St John Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60483959 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays Harbor County Public Hospital District No 1 | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Grays Harbor County Public Hospital District No 1 | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients |
Locations
600 E Main St
Elma, WA 98541
Phone (360) 346-2222
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
2312 NE 129th St
Vancouver, WA 98686
Phone (360) 546-8950
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Longview, WA
- NPI 1720056187
-
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
- Rural Health Clinic/Center
- Elma, WA
- NPI 1083202907
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, WA
- NPI 1073510277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1801201900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE",
"address_2": "DEPT 358",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839324",
"telephone_number": "360-729-1412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 DELAWARE ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322367",
"telephone_number": "360-636-4878"
}
],
"practiceLocations": [
{
"address_1": "2312 NE 129th St",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986863236",
"country_code": "US",
"telephone_number": "360-514-7060",
"fax_number": "360-729-3162",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYNCH",
"first_name": "KINDRA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60483959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.