Active NPI
Emily D Wuerdeman, CRNA
- Certified Registered Nurse Anesthetist
- Tacoma, WA
National Provider Identifier
1962738781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60577045
- Practice address
- 3209S 23Rd St 340
Tacoma, WA 98405-1602 - Phone
- (253) 503-2598
- Fax
- (253) 404-0506
- NPI assigned
- Oct 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 150796 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | AP60577045 | WA | Primary |
Addresses
Primary practice location
3209S 23Rd St 340
Tacoma, WA 98405-1602
Mailing address
1006 N Anderson St
Tacoma, WA 98406-6814
Phone (731) 796-0407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8944647 | Other | WA | MDCR PTAN (K) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150796 | TN | MD | Certified Registered Nurse Anesthetist |
| AP60577045 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients | |
| Ambulatory Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
6355 Walker Ln
Ste 200
Alexandria, VA 22310
Phone (703) 922-9501
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
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
- Alexandria, VA
- NPI 1720192230
DC, Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1962738781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 N ANDERSON ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984066814",
"telephone_number": "731-796-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209S 23RD ST 340",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051602",
"telephone_number": "253-503-2598",
"fax_number": "253-404-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUERDEMAN",
"first_name": "EMILY",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "150796",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60577045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCR PTAN (K)",
"identifier": "G8944647",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.