Individual provider Active NPI

Donald Allen Zinke, CRNA

  • Certified Registered Nurse Anesthetist
  • Olympia, WA
National Provider Identifier
1992874069
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60065389 Issued in WA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G8878862OtherWAMEDICARE WA
808267100MedicaidID
500608870MedicaidOR
1579078MedicaidAK
2001129MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
402AKMDDentist
37510CAMDLicensed Psychiatric Technician
NURA402AKMDCertified Registered Nurse Anesthetist
RNA-743IDMDCertified Registered Nurse Anesthetist
NUR-APRN-LIC-101031MTMDCertified Registered Nurse Anesthetist
AP60065389WAMDCertified 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.

Verify at the official NPI Registry.