NPIMap

Organization Active NPI

Creative Anesthesia Solutions LLC

  • Certified Registered Nurse Anesthetist
  • Spokane Vly, WA
National Provider Identifier
1932381910
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30006232 Issued in WA
Legal business name
CREATIVE ANESTHESIA SOLUTIONS LLC
Practice address
1414 N Houk Rd
Spokane Vly, WA 99216-1097
Phone
(509) 928-8040
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Ellen Kraus-Schaeffer, CRNA
Title
Owner
Phone
(509) 856-6874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X AP30006232 WA Primary

Addresses

Primary practice location

1414 N Houk Rd
Spokane Vly, WA 99216-1097

Mailing address

PO Box 3404
Idaho Falls, ID 83403-3404
Phone (208) 525-2090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103000414 WA Part B Supplier - Clinic/Group Practice 2567424328 Receives reassigned benefits from 6 practitioners
Practice locations: Spokane Valley, WA; Spokane, WA; Federal Way, WA

National Provider Directory

National Provider Directory

Locations

1414 N Houk Rd
Ste 102
Spokane Valley, WA 99216
Phone (509) 624-2226

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1932381910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3404",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033404",
            "telephone_number": "208-525-2090",
            "fax_number": "208-523-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N HOUK RD",
            "city": "SPOKANE VLY",
            "state": "WA",
            "postal_code": "992161097",
            "telephone_number": "509-928-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE ANESTHESIA SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "KRAUS-SCHAEFFER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-856-6874",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30006232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Vly, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.