Jonathan Lee Custer

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN293835 Issued in GA

Practice address

9040 Jackson Ave
Tacoma, WA 98431-4504

Phone

(253) 968-0198

NPI assigned

Jun 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Everpresent Anesthetics LLC

  • Certified Registered Nurse Anesthetist
  • Tacoma, WA
  • NPI 1952179137

  Nurse Anesthetist, Certified Registered

  NPD Authorized official
• Veil Anesthetics PLLC

  • Certified Registered Nurse Anesthetist
  • McChord Afb, WA
  • NPI 1396606273

  Nurse Anesthetist, Certified Registered

  NPD Authorized official
• Eye 35 ASC. LLC

  • Ambulatory Surgical Clinic/Center
  • Schertz, TX
  • NPI 1285171538
  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1861019473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 STORM RDG",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781082030",
            "telephone_number": "901-335-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984314504",
            "telephone_number": "253-968-0198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Jbsa Ft Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-916-3832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSTER",
        "first_name": "JONATHAN",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN293835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Annetta Curtis, M.D.
• Michael Cusack
• Shelby Cushman
• Howard M. Cushner, M.D.
• Christina Cusolito, LMHC
• Elizabeth Rosemund Custodio
• Custom Prosthetic, LTD.
• Katy Marie Cutler
• Angelina Cutright
• Mary Gene Paglinawan Cuyugan, MD

• Certified Registered Nurse Anesthetist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.