Pinnacle West Anesthesia Services, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PINNACLE WEST ANESTHESIA SERVICES, LLC

Practice address

2373 G Rd Ste 180
Grand Junction, CO 81505-1003

Phone

(615) 620-2320

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Brad Keller, CRNA

Title

Crna/Owner

Phone

(615) 620-2320

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1053980771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292817",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372292817",
            "telephone_number": "615-620-2320",
            "fax_number": "615-620-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 180",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051003",
            "telephone_number": "615-620-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE WEST ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CRNA/OWNER",
        "authorized_official_telephone_number": "615-620-2320",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.