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KENNETH JAY ROBLES SELERIO CRNA
NPI 1174894703
Nurse Anesthetist, Certified Registered in Joint Base Lewis Mcchord, WA

Active since January 12, 2012
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, JOINT BASE LEWIS MCCHORD, WA 98431(253) 968-2252(253) 968-3278 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Jay Robles Selerio Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH JAY ROBLES SELERIO CRNA (NPI 1174894703) is an individual nurse anesthetist, certified registered in Joint Base Lewis Mcchord, Washington, licensed in Tennessee (088127) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1174894703
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKENNETH JAY ROBLES SELERIOCredential: CRNA
Location Address9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTERJoint Base Lewis Mcchord, WA 98431-2414
Mailing Address9040 Jackson Ave Madigan Army Medical CenterJoint Base Lewis Mcchord, WA 98431-0001 · (253) 968-2252 · Fax (253) 968-3278
Phone(253) 968-2252
Fax(253) 968-3278
Sole ProprietorYes
Enumeration DateJanuary 12, 2012
Last NPPES UpdateFebruary 20, 2019
✔ NPI 1174894703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TN · 088127
Definition
(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.
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, Joint Base Lewis Mcchord, WA 98431
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA CARPENTER COUSINS MD
Obstetrics & Gynecology (Gynecologic Oncology)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (301) 295-4000
BERNADETTE KUCHINSKY LCSW
Social Worker (Clinical)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-2252
ASHLEY ELIZABETH SMITH M.D.
Pediatrics
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (330) 541-3102
DR. JODIE LYNN BOLT MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-1440
DR. DELNORA ERICKSON M.D.
Radiology (Radiation Oncology)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-2252
AMY TYLER MALLORY-SMITH LICSW
Social Worker (Clinical)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (206) 851-7427
ASHLEY N VARGAS LCSW
Social Worker (Clinical)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-4851
DR. MUHAMMAD AYUB MD
Family Medicine
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pierce County (253) 968-5779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Jay Selerio's NPI number?

The NPI number for Kenneth Jay Selerio is 1174894703. It was assigned to this individual provider in the NPPES registry on January 12, 2012.

Where is Kenneth Jay Selerio located?

Kenneth Jay Selerio practices at 9040 Jackson Ave Madigan Army Medical Center, Joint Base Lewis Mcchord, WA 98431. The listed phone number is (253) 968-2252.

What is Kenneth Jay Selerio's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Kenneth Jay Selerio was last updated on February 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.