Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyler Rex Thornock, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1881999639

Tyler Rex Thornock, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Kennewick, Washington. Qualified in 2010, 16 years ago. Practices with Medstream Anesthesia PLLC, a 577-clinician group. Licensed in Washington.

Years since qualifying
16
Licensed in
WA
In the registry since
2011
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

15205 S Mountain Ridge Ct
Kennewick, WA 99338
Phone: (435) 668-4334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP60203414 (WA)

Record details

NPI number1881999639
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJanuary 25, 2011
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Medstream Anesthesia Pllc — 577 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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