Active NPI
Vitalz Anesthesia Unlimited LLC
- Certified Registered Nurse Anesthetist
- Peoria, IL
National Provider Identifier
1013474071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- VITALZ ANESTHESIA UNLIMITED LLC
- Practice address
- 6708 N Knoxville Ave Ste 1
Peoria, IL 61614-2863 - Phone
- (888) 209-0305
- Fax
- (952) 442-3620
- NPI assigned
- Feb 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael J Almeida, CRNA
- Title
- Partner
- Phone
- (309) 648-6766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
6708 N Knoxville Ave Ste 1
Peoria, IL 61614-2863
Mailing address
400 10TH St E
Waconia, MN 55387-4552
Phone (888) 209-0305
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555632000000",
"number": "1013474071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 10TH ST E",
"city": "WACONIA",
"state": "MN",
"postal_code": "553874552",
"telephone_number": "888-209-0305",
"fax_number": "952-442-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6708 N KNOXVILLE AVE STE 1",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142863",
"telephone_number": "888-209-0305",
"fax_number": "952-442-3620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITALZ ANESTHESIA UNLIMITED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-26",
"last_updated": "2019-04-19",
"status": "A",
"authorized_official_last_name": "ALMEIDA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "309-648-6766",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.