Active NPI
Vavra Anesthesia Service Inc
- Certified Registered Nurse Anesthetist
- Sammamish, WA
National Provider Identifier
1821347949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30005421
- Legal business name
- VAVRA ANESTHESIA SERVICE INC
- Practice address
- 21453 SE 35TH Way
Sammamish, WA 98075-6240 - Phone
- (425) 392-8803
- Fax
- (425) 392-8944
- NPI assigned
- Sep 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey D. Vavra, CRNA
- Title
- President
- Phone
- (425) 392-8803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP30005421 | WA | Primary |
Addresses
Primary practice location
21453 SE 35TH Way
Sammamish, WA 98075-6240
Mailing address
PO Box 1024
Issaquah, WA 98027-0039
Phone (425) 392-8803
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VA6228 | Other | REGENCE | |
| 108803 | Other | WA | LABOR & INDUSTRIES |
National Provider Directory
National Provider DirectoryLocations
22525 SE 64th Pl
Ste 220
Issaquah, WA 98027
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Enumclaw, WA
- NPI 1720167570
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346803200000",
"number": "1821347949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1024",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980270039",
"telephone_number": "425-392-8803",
"fax_number": "425-392-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21453 SE 35TH WAY",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980756240",
"telephone_number": "425-392-8803",
"fax_number": "425-392-8944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAVRA ANESTHESIA SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A",
"authorized_official_last_name": "VAVRA",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-392-8803",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30005421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "VA6228",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "108803",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sammamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.