Active NPI
Donald Allen Zinke, CRNA
- Certified Registered Nurse Anesthetist
- Olympia, WA
National Provider Identifier
1992874069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60065389
- Practice address
- 115 New View CT NE
Olympia, WA 98506-5250 - Phone
- (360) 252-1642
- Fax
- (360) 252-1646
- NPI assigned
- Nov 6, 2006
- Last updated
- Dec 11, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA-743 | ID | |
| Certified Registered Nurse Anesthetist | 367500000X | NUR-APRN-LIC-101031 | MT | |
| Certified Registered Nurse Anesthetist | 367500000X | NURA402 | AK | |
| Certified Registered Nurse Anesthetist | 367500000X | AP60065389 | WA | Primary |
Addresses
Primary practice location
115 New View CT NE
Olympia, WA 98506-5250
Mailing address
PO Box 1506
Chehalis, WA 98532-0409
Phone (360) 242-3008
Other practice location 1
2517 NE Kresky Ave
Chehalis, WA 98532-2409
Phone (360) 242-4610
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8878862 | Other | WA | MEDICARE WA |
| 808267100 | Medicaid | ID | |
| 500608870 | Medicaid | OR | |
| 1579078 | Medicaid | AK | |
| 2001129 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asc.pcliolympia.p1@direct.pcli.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 402 | AK | MD | Dentist |
| 37510 | CA | MD | Licensed Psychiatric Technician |
| NURA402 | AK | MD | Certified Registered Nurse Anesthetist |
| RNA-743 | ID | MD | Certified Registered Nurse Anesthetist |
| NUR-APRN-LIC-101031 | MT | MD | Certified Registered Nurse Anesthetist |
| AP60065389 | WA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1992874069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1506",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985320409",
"telephone_number": "360-242-3008",
"fax_number": "360-807-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NEW VIEW CT NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065250",
"telephone_number": "360-252-1642",
"fax_number": "360-252-1646"
}
],
"practiceLocations": [
{
"address_1": "2517 NE Kresky Ave",
"address_purpose": "LOCATION",
"city": "Chehalis",
"state": "WA",
"postal_code": "985322409",
"country_code": "US",
"telephone_number": "360-242-4610",
"fax_number": "360-807-7687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZINKE",
"first_name": "DONALD",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA-743",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "NUR-APRN-LIC-101031",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AK",
"license": "NURA402",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60065389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE WA",
"identifier": "G8878862",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808267100",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500608870",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1579078",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2001129",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asc.pcliolympia.p1@direct.pcli.nextgenshare.com",
"affiliation": "N",
"address_1": "115 New View Ct NE",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985065250",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.