Angela D Liddell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRN-1171 Issued in HI

Practice address

1100 E 26TH St
Sioux Falls, SD 57105-4046

Phone

(605) 338-7098

Fax

(605) 335-3505

NPI assigned

Mar 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angela D Gulbranson Former name

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Heart Hospital of South Dakota LLCGroup PAC ID 5799777249, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Heart Hospital of South Dakota Hospital, Sioux Falls, SD, CCN 430095

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment Care Compare group NPD
• Heart Hospital of South Dakota LLC

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1023003969
  Medicare reassignment Care Compare group NPD
• Avera McKennan

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  • Certified Registered Nurse Anesthetist
  • Sioux Falls, SD
  • NPI 1568662872

  Nurse Anesthetist, Certified Registered

  NPD
• Heart Hospital of South Dakota LLC

  • Cardiovascular Disease Physician
  • Sioux Falls, SD
  • NPI 1407109705
  NPD
• Anesthesiology Associates

  • Specialist
  • Sioux Falls, SD
  • NPI 1902249816
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Heart Hospital of South Dakota LLC

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1023003969
  Care Compare affiliation
• Heart Hospital of South Dakota LLC

  • Cardiovascular Disease Physician
  • Sioux Falls, SD
  • NPI 1407109705

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1063653103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W GOLDEN EAGLE ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571084839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054046",
            "telephone_number": "605-338-7098",
            "fax_number": "605-335-3505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 S Cliff Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571051007",
            "country_code": "US",
            "telephone_number": "605-322-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIDDELL",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "HI",
            "license": "APRN-1171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "633596-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GULBRANSON",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Li, M.D.
• Weizhe Li, MD, PHD
• Darlene Marie Liberstein, CNP
• Liberty Chiropractic LLC
• Stephanie Alane Libis, ATC
• Travis Richard Liddell, M.D.
• Madalyn Rae Liebl, PA-C
• Lien Chiropractic LLC
• Austin Lien, DC
• Molly Lien, MD

• Certified Registered Nurse Anesthetist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Certified Registered Nurse Anesthetist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.