Active NPI
Snarr Anesthesia Services PLLC
- Certified Registered Nurse Anesthetist
- Burley, ID
National Provider Identifier
1043672850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- SNARR ANESTHESIA SERVICES PLLC
- Practice address
- 1501 Hiland Ave
Burley, ID 83318-2688 - Phone
- (208) 677-8888
- Fax
- (208) 523-8978
- NPI assigned
- Mar 22, 2016
- 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
- Michelle Dawn Payne
- Title
- Owner/Manager
- Phone
- (208) 525-2090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ID | Primary |
Addresses
Primary practice location
1501 Hiland Ave
Burley, ID 83318-2688
Mailing address
PO Box 3327
Idaho Falls, ID 83403-3327
Phone (208) 525-2090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160614000719 | ID | Part B Supplier - Clinic/Group Practice | 7517258049 |
Receives reassigned benefits from 1 practitioner Practice locations: Burley, ID |
National Provider Directory
National Provider DirectoryLocations
1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Burley, ID
- NPI 1629020862
ID, Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458604800000",
"number": "1043672850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3327",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834033327",
"telephone_number": "208-525-2090",
"fax_number": "208-523-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HILAND AVE",
"city": "BURLEY",
"state": "ID",
"postal_code": "833182688",
"telephone_number": "208-677-8888",
"fax_number": "208-523-8978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNARR ANESTHESIA SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-22",
"last_updated": "2016-03-22",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "208-525-2090"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burley, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.