Individual provider Active NPI

Kaori Donohue, CRNA

  • Certified Registered Nurse Anesthetist
  • Lakewood, WA
National Provider Identifier
1972780294
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60368973 Issued in WA
Practice address
11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone
(253) 985-6403
Fax
(253) 985-2948
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 201160049CRNA OR
Certified Registered Nurse Anesthetist 367500000X AP60368973 WA Primary

Addresses

Primary practice location

11315 Bridgeport Way SW
Lakewood, WA 98499-3004

Mailing address

1717 S J St # Ms 01-36
Tacoma, WA 98405-4933
Phone (253) 985-6403

Other practice location 1

11567 Canterwood Blvd
Gig Harbor, WA 98332-5812
Phone (253) 530-2000

Other identifiers 1

IdentifierTypeStateIssuer
2029424MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdonohue801554@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130926000135 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840339743 Reassigns benefits to 4 organizations
I20161118002014 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840339743 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians

Practice addresses (Care Compare)

11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 426-6341

3261 NW Mount Vintage Way
Suite 221
Silverdale, WA 98383-6039
Phone (360) 792-9118

Hospital & facility affiliations

  • St Clare Hospital Hospital, Lakewood, WA, CCN 500021
  • St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Ethereal Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
On-Site Anesthesia Services Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 30, 2013 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Aug 12, 2014 Accepting new patients
Metropolitan Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2017 Accepting new patients
Franciscan Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Olympia Multi Specialty Clinic CurrentSince Sep 1, 2020 Accepting new patients
Complete Anesthesia Care LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Mar 15, 2023 Accepting new patients
Digestive Disease & Endoscopy Center, LLC Past Accepting new patients
Franciscan Medical Group PastSince Jul 14, 2024 Accepting new patients

Locations

9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081

1130 NW 22nd Ave
Ste 615
Portland, OR 97210
Phone (503) 229-7137

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137

1111 NE 99th Ave
Ste 302
Portland, OR 97220
Phone (503) 963-2707

2480 Liberty St NE
Ste 120
Salem, OR 97301
Phone (503) 363-4355

6464 SW Borland Rd
Ste A3
Tualatin, OR 97062
Phone (503) 292-8614

11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

406 Black Hills Ln SW
Ste A
Olympia, WA 98502
Phone (360) 754-1727

3920 Capital Mall Dr SW
Ste 300
Olympia, WA 98502
Phone (360) 754-0287

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

9730 3rd Ave NE
Ste 200
Seattle, WA 98115
Phone (206) 985-9553

3261 NW Mount Vintage Way
Ste 221
Silverdale, WA 98383
Phone (360) 479-1952

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711

3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508

2202 S Cedar St
Ste 330
Tacoma, WA 98405
Phone (253) 503-2547

1717 S J St
#136
Tacoma, WA 98405
Phone (253) 426-6363

8506 E Mill Plain Blvd
Ste C
Vancouver, WA 98664
Phone (360) 823-0880

Interoperability endpoints

  • Direct secure messaging: kdonohue801554@fhsce.catholichealth.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1972780294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S J ST # MS 01-36",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054933",
            "telephone_number": "253-985-6403",
            "fax_number": "253-985-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 BRIDGEPORT WAY SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993004",
            "telephone_number": "253-985-6403",
            "fax_number": "253-985-2948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11567 Canterwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983325812",
            "country_code": "US",
            "telephone_number": "253-530-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "KAORI",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201160049CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60368973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029424",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdonohue801554@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11315 Bridgeport Way SW",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984993004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; 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.

Verify at the official NPI Registry.