Organization Active NPI

Brown Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Tacoma, WA
National Provider Identifier
1831443381
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60077293 Issued in WA
Legal business name
BROWN ANESTHESIA, PLLC
Practice address
502 S M St
Tacoma, WA 98405-3728
Phone
(253) 627-8266
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Mr. Kristopher Miles Brown, CRNA, ARNP
Title
President
Phone
(253) 389-8601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X AP60077293 WA Primary

Addresses

Primary practice location

502 S M St
Tacoma, WA 98405-3728

Mailing address

2814 Lexington St
Steilacoom, WA 98388-2908
Phone (253) 389-8601

Other identifiers 2

IdentifierTypeStateIssuer
9640954MedicaidWA
0250144OtherWALABOR AND INDUSTRIES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1831443381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 LEXINGTON ST",
            "city": "STEILACOOM",
            "state": "WA",
            "postal_code": "983882908",
            "telephone_number": "253-389-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S M ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053728",
            "telephone_number": "253-627-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-389-8601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA, ARNP"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60077293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9640954",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0250144",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.