Plateau Anesthesia PS

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PLATEAU ANESTHESIA PS

Practice address

1450 Battersby Ave
Enumclaw, WA 98022-3634

Phone

(360) 802-3243

Fax

(360) 802-3237

NPI assigned

Jan 24, 2007

Last updated

Aug 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Helen J. Walton, C.R.N.A.NPI 1720167570

Title

President

Phone

(360) 802-3243

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Helen J Walton, CRNA

  • Certified Registered Nurse Anesthetist
  • Enumclaw, WA
  • NPI 1720167570

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official
• Rebecca A Meyers, CRNA

  • Certified Registered Nurse Anesthetist
  • Enumclaw, WA
  • NPI 1619051125

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1861547200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 BATTERSBY AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223634",
            "telephone_number": "360-802-3243",
            "fax_number": "360-802-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 BATTERSBY AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223634",
            "telephone_number": "360-802-3243",
            "fax_number": "360-802-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATEAU ANESTHESIA PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-802-3243",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.R.N.A."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFIED BUSINESS ID",
            "identifier": "601 854 264",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7092034",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0121788",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Emily Peschek, LMP
• Rebecca Lee Pettit
• Joanie Rae Phelps, L.M.T.
• Hailey Pietenburg
• Chella Bear Plastiras, M.S CCC-SLP
• Plateau Emergency Physicians
• Plateau Family Medicine, PS
• Plateau Massage LLC (Plateau Massage Therapy)
• Plateau Rehab Services
• Heidi Poortvliet

• Certified Registered Nurse Anesthetist in Enumclaw, WA
• Providers in Enumclaw, 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 Aug 7, 2008; 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.