Organization Active NPI

Anesthesia One, P.S

  • Certified Registered Nurse Anesthetist
  • Spokane Valley, WA
National Provider Identifier
1831159284
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ANESTHESIA ONE, P.S
Practice address
1414 N Houk Rd
Ste 204
Spokane Valley, WA 99216-1097
Phone
(509) 922-0362
NPI assigned
Mar 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael A Andrane, CRNA
Title
Pres
Phone
(509) 922-0362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

1414 N Houk Rd
Ste 204
Spokane Valley, WA 99216-1097

Mailing address

122 N Raymond Rd
Ste 20
Spokane Valley, WA 99206-6832
Phone (509) 926-1770

Other identifiers 1

IdentifierTypeStateIssuer
7102635MedicaidWA

National Provider Directory

National Provider Directory

Locations

1414 N Houk Rd
Spokane Valley, WA 99216
Phone (509) 922-0362

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831159284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N RAYMOND RD",
            "address_2": "STE 20",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066832",
            "telephone_number": "509-926-1770",
            "fax_number": "509-228-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N HOUK RD",
            "address_2": "STE 204",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161097",
            "telephone_number": "509-922-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ONE, P.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRANE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "509-922-0362",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7102635",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • 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.