Active NPI
Jacqueline P Evans, CRNA, ARNP
- Certified Registered Nurse Anesthetist
- Issaquah, WA
National Provider Identifier
1831139641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30001334
- Practice address
- 6520 226TH PL SE
Ste 120
Issaquah, WA 98027-7371 - Phone
- (425) 830-5574
- NPI assigned
- Jun 8, 2006
- 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 | AP30001334 | WA | Primary |
Addresses
Primary practice location
6520 226TH PL SE
Ste 120
Issaquah, WA 98027-7371
Mailing address
PO Box 1143
Fall City, WA 98024-1143
Phone (425) 830-5574
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380452001 | Other | WA | GROUP HEALTH |
| 040217 | Other | WA | LABOR & INDUSTRY |
| 9611047 | Medicaid | WA | |
| EV3488 | Other | WA | REGENCE BLUE CROSS/SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30001334 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankle & Foot CL of Renton PS | Past | Accepting new patients | |
| Ankle & Foot Clinic of Rento | Past | Accepting new patients |
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.
-
- Podiatric Clinic/Center
- Renton, WA
- NPI 1881754984
-
- Ambulatory Surgical Clinic/Center
- Renton, WA
- NPI 1205903515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831139641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1143",
"city": "FALL CITY",
"state": "WA",
"postal_code": "980241143",
"telephone_number": "425-830-5574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6520 226TH PL SE",
"address_2": "STE 120",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980277371",
"telephone_number": "425-830-5574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JACQUELINE",
"middle_name": "P",
"credential": "CRNA, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30001334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "380452001",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "040217",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9611047",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE CROSS/SHIELD",
"identifier": "EV3488",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.