Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1790963874

Unknown Individual is a healthcare provider. based in Colville, Washington. specializing in Certified Registered Nurse Anesthetist. They hold a License No. H-030 (WA). The NPI Number for Unknown Individual is 1790963874

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790963874
Phone
(509) 685-2509
Address
982 E COLUMBIA AVE
Deactivation Date
20 February 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Providence Mount Carmel Hospital, 982, East Columbia Avenue, Colville, Stevens County, Washington, 99114, United States

    COLVILLE, WA 991143316

    Phone: (509) 685-2509

    Type: Location

  • 910, North Washington Street, Riverside, Spokane, Spokane County, Washington, 99201, United States

    SUITE 209

    SPOKANE, WA 992012202

    Phone: (509) 484-8069

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99114)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check Unknown Individual using NPI 1790963874?
NPI 1790963874 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Colville, Washington as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

Similar Providers

MR. SCOTT D DANNENBRING (CRNA)

Certified Registered Nurse Anesthetist
Providence Mount Carmel Hospital, 982, East Columbia Avenue, Colville, Stevens County, Washington, 99114, United States
NPI: 1558300608

ROBIN D MARSH (CRNA)

Certified Registered Nurse Anesthetist
Providence Mount Carmel Hospital, 982, East Columbia Avenue, Colville, Stevens County, Washington, 99114, United States
NPI: 1528007689

MARCUS C GROFFMAN (CRNA)

Certified Registered Nurse Anesthetist
Providence Mount Carmel Hospital, 982, East Columbia Avenue, Colville, Stevens County, Washington, 99114, United States
NPI: 1396933891