Active NPI
Cory Dee Hatch, CRNA. RN
- Certified Registered Nurse Anesthetist
- Spokane, WA
National Provider Identifier
1861878167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60594372
- Practice address
- 101 W 8TH Ave
Spokane, WA 99204-2307 - Phone
- (509) 474-3131
- NPI assigned
- Aug 10, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA000485 | NV | |
| Registered Nurse | 163W00000X | RN64146 | NV | |
| Certified Registered Nurse Anesthetist | 367500000X | AP60594372 | WA | Primary |
Addresses
Primary practice location
101 W 8TH Ave
Spokane, WA 99204-2307
Mailing address
PO Box 94645
Seattle, WA 98124-6945
Phone (509) 474-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861878167 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AZ
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.73 of 100
- Quality
- 83.21
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60594372 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Service- Washington | Current | Accepting new patients |
Locations
101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181
5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111
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.
-
- Anesthesiology Physician
- Spokane, WA
- NPI 1508118555
-
- Certified Registered Nurse Anesthetist
- Casa Grande, AZ
- NPI 1073026464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448409600000",
"number": "1861878167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94645",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981246945",
"telephone_number": "509-474-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 8TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042307",
"telephone_number": "509-474-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "CORY",
"middle_name": "DEE",
"credential": "CRNA. RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-10",
"last_updated": "2015-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "CRNA000485",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN64146",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60594372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861878167",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.