Liana Ren, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP60402981 Issued in WA

Practice address

5701 NE Bothell Way Ste 4
Kenmore, WA 98028-9400

Phone

(425) 835-2363

Fax

(425) 368-7634

NPI assigned

Feb 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Lighthouse Infusions, PLLC

  • Infusion Therapy Clinic/Center
  • Kenmore, WA
  • NPI 1043037120
  NPD Authorized official
• Medstar Health Anesthesia Services D, LLC

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1629117908
  NPD (past)
• Parkway Anesthesiologists, PA

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1417901869
  NPD (past)
• Parkway Pain Services PA

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1659359503
  NPD (past)
• Western Pennsylvania Anesthesia Associates, LTD.

  • Pain Medicine (Anesthesiology) Physician
  • Pittsburgh, PA
  • NPI 1386639847
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1942273164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 NE BOTHELL WAY STE 4",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289400",
            "telephone_number": "425-835-2363",
            "fax_number": "425-368-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 NE BOTHELL WAY STE 4",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980289400",
            "telephone_number": "425-835-2363",
            "fax_number": "425-368-7634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98104",
            "country_code": "US",
            "telephone_number": "206-744-3059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REN",
        "first_name": "LIANA",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60402981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942273164",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quirt, Mongrain, Gibree, P.C.
• Rafaela de Leon PLLC
• Rebecca Cummings, M.S., CCC-SLP, PLLC
• Rediclinic of Wa, LLC
• Kimberly Francine Reid, ND
• Victoria Rhoades, ND
• Kay Christine Rhodes, LMP
• Megan Corinne Riggs, PCD
• Robert M. Gottlieb, DDS, PS
• Elizabeth Caitlyn Roberts

• Certified Registered Nurse Anesthetist in Kenmore, WA
• Providers in Kenmore, 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 Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.