J&K Anesthesia, PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

J&K ANESTHESIA, PLLC

Practice address

5976 W Venetian Dr
Eagle, ID 83616-7439

Phone

(801) 336-6727

NPI assigned

Jun 12, 2023

Last updated

Jun 10, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jayson Scopel, CRNANPI 1760897409

Title

President/Owner

Phone

(801) 336-6727

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jayson Scopel

  • Certified Registered Nurse Anesthetist
  • Boise, ID
  • NPI 1760897409

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD Authorized official
• David Allen, CRNA

  • Certified Registered Nurse Anesthetist
  • Meridian, ID
  • NPI 1740304732

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Robert Erron Cooks, CRNA

  • Certified Registered Nurse Anesthetist
  • Boise, ID
  • NPI 1043727902

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Jeffery Carl Richardson, CRNA-DNP

  • Certified Registered Nurse Anesthetist
  • Boise, ID
  • NPI 1932774312

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1043994890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5976 W VENETIAN DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167439",
            "telephone_number": "801-336-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5976 W VENETIAN DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167439",
            "telephone_number": "801-336-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&K ANESTHESIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "SCOPEL",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "801-336-6727",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760897409",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hailey Jellison, LMT
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• Braeden Tyler-Makai Jensen, DC
• Catlin Jensen
• Leonard Jensen, FNP

• Certified Registered Nurse Anesthetist in Eagle, ID
• Providers in Eagle, ID by specialty
• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.

Verify at the official NPI Registry.