PACIFIC RIM ANESTHESIA SERVICES PLLC
NPI 1831651009
Nurse Anesthetist, Certified Registered in Enumclaw, WA

Active since April 04, 2019
1427 JEFFERSON AVE STE 101, ENUMCLAW, WA 98022(360) 825-4466 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2019, Apr 4, 2019 (2 updates tracked since 2019).

  • Organization
  • Nurse Anesthetist, Certified Registered

About PACIFIC RIM ANESTHESIA SERVICES PLLC

This page provides the complete NPI Profile along with additional information for Pacific Rim Anesthesia Services Pllc, a provider established in Enumclaw, Washington operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1831651009 assigned on April 2019. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jeanie Marie Lightfoot Crna (Crna)

NPI
1831651009 Verify this NPI
Provider Name
PACIFIC RIM ANESTHESIA SERVICES PLLC
Entity Type
Organization
Location Address
1427 JEFFERSON AVE STE 101 ENUMCLAW, WA 98022
Location Phone
(360) 825-4466
Mailing Address
3508 366TH ST E EATONVILLE, WA 98328
Mailing Phone
(540) 419-4126
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2019
Last Update Date
05-14-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEANIE MARIE LIGHTFOOT CRNA

Authorized Official Title
CRNA
Authorized Official Phone
(540) 419-4126

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant
1427 JEFFERSON AVE STE 101
ENUMCLAW, WA 98022
Nurse Practitioner
1427 JEFFERSON AVE STE 101
ENUMCLAW, WA 98022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831651009, enumerated as an "organization" on April 04, 2019.

The provider is located at 1427 JEFFERSON AVE STE 101 ENUMCLAW, WA 98022 and the phone number is (360) 825-4466.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.