MEDICARE: BRIAN J STACY CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	AP61059261	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194286039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN J STACY CRNA

Provider Business Mailing Address
First Line	:	PO BOX 50095
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98145-5095
Country	:	US
Telephone Number	:	206-520-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-2307
Country	:	US
Telephone Number	:	206-520-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	07/01/2020

Similar Medicare Providers

1669834149 — ANDREA NICOLE REA MD
Practice Location Address:

1959 NE PACIFIC ST
SEATTLE, WA
98195-2307

Practice Phone: 206-520-5000
Practice Fax:

1538628334 — CLARE S SANTANA CRNA
Practice Location Address:

1959 NE PACIFIC ST
SEATTLE, WA
98195-2307

Practice Phone: 206-520-5000
Practice Fax:

1003557141 — DR. JORDAN MARY SCHROEDER MD
Practice Location Address:

DEPT REHAB MEDICINE 1959 NE PACIFIC ST # 356490 BB-928
SEATTLE, WA
98195-2307

Practice Phone: 206-685-0936
Practice Fax: 206-616-3908

1104528397 — LEVI BALE MD
Practice Location Address:

1959 NE PACIFIC ST
SEATTLE, WA
98195-2307

Practice Phone: 206-685-0936
Practice Fax:

1124185343 — MS. JOYCE ANN GREENBERG L.AC.
Practice Location Address:

10216 63RD AVE S
SEATTLE, WA
98178-2307

Practice Phone: 206-760-4828
Practice Fax: 206-760-4828

1760701502 — VERONICA HILDEBRAND L.M.P.
Practice Location Address:

2640 49TH AVE SW
SEATTLE, WA
98116-2307

Practice Phone: 206-356-7322
Practice Fax:

Directions to “ BRIAN J STACY CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.