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Active NPI 1639128564 Organization (Entity Type 2)

Sierra Anesthesia

Nurse Anesthetist, Certified Registered • Pt Townsend, WA

About Sierra Anesthesia NPI 1639128564 Summary

Sierra Anesthesia is a verified healthcare organization specializing in Nurse Anesthetist, Certified Registered operating in Pt Townsend, WA. Located at 834 SHERIDAN ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1639128564.

Administrative operations and authorized compliance are overseen by Marc Johnson (Crna).

Facility Location & Contact Primary Location

Facility Address

834 Sheridan St

Pt Townsend, WA 983682443

Telephone 8772616262
Fax 3607339553

Authorized Official Information

Authorized Contact Name

Marc Johnson , CRNA

Title / Role

Crna

Official Telephone

8772616262

Facility Classifications & Specialties

Nurse Anesthetist, Certified Registered Primary Taxonomy

NUCC Taxonomy Code: 367500000X

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 834 SHERIDAN ST, PT TOWNSEND, WA 983682443 (Tel: 8772616262)

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Updated Business Mailing Address July 08, 2007

Registered at 1317 HUMBOLDT ST, BELLINGHAM, WA 982254931 (Tel: 8772616262)

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Organization / Clinic Name Updated July 08, 2007

Operating as SIERRA ANESTHESIA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Anesthetist, Certified Registered

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Initial NPI Registration & Enumeration May 08, 2006

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1639128564
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: May 08, 2006
Last Update: August 22, 2020

Mailing Address

1317 Humboldt St

Bellingham, WA 982254931

Phone: 8772616262

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.