Active NPI
Karen Doncouse, CRNA
- Certified Registered Nurse Anesthetist
- Pocatello, ID
National Provider Identifier
1053361980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA-390
- Practice address
- 1950 E Clark St
Suite G
Pocatello, ID 83201-3314 - Phone
- (208) 232-7760
- Fax
- (208) 232-1950
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RNA390 | ID | |
| Certified Registered Nurse Anesthetist | 367500000X | RNA-390 | ID | Primary |
Addresses
Primary practice location
1950 E Clark St
Suite G
Pocatello, ID 83201-3314
Mailing address
9696 W Heather Rd
Pocatello, ID 83204-7232
Phone (208) 221-5153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805086500 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA390 | ID | MD | Registered Nurse |
| RNA-390 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Rock Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Idaho Falls, ID
- NPI 1174602684
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1053361980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9696 W HEATHER RD",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832047232",
"telephone_number": "208-221-5153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 E CLARK ST",
"address_2": "SUITE G",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832013314",
"telephone_number": "208-232-7760",
"fax_number": "208-232-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONCOUSE",
"first_name": "KAREN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "RNA390",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA-390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805086500",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.