Active NPI
Tatiana V Khochay
- Certified Registered Nurse Anesthetist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA-831A
- Practice address
- 1055 N Curtis Rd
Boise, ID 83706-1309 - Phone
- (208) 367-6416
- Fax
- (208) 367-2742
- NPI assigned
- Mar 30, 2012
- 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 | N36575 | ID | |
| Certified Registered Nurse Anesthetist | 367500000X | RNA-831A | ID | Primary |
Addresses
Primary practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Mailing address
1067 E Azan St
Meridian, ID 83646-7682
Phone (208) 794-1559
Other practice location 1
2801 Burgundy dr.
erie, PA 16506
Phone (208) 794-1559
Other practice location 2
2240 W Everest Ln Ste 150
Meridian, ID 83646-6104
Phone (208) 794-1559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1828 S Millenium Way
Meridian, ID 83642-5036
Phone (208) 381-0262
8800 W Emerald St
Boise, ID 83704-8205
Phone (208) 373-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N36575 | ID | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Idaho Anesthesia, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Treasure Valley Pain Center, LLC | Current | Accepting new patients | |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| Boise Valley Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| Anesthesia Consulting Partners Idaho, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Boise, P.a. | Past | Accepting new patients |
Locations
900 N Liberty St
Ste 450
Boise, ID 83704
Phone (208) 367-7431
8800 W Emerald St
Boise, ID 83704
Phone (208) 373-5000
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719
3115 Medical Dr
Caldwell, ID 83605
Phone (208) 453-8668
2240 W Everest Ln
#150
Meridian, ID 83646
Phone (208) 794-1559
1828 S Millenium Way
Meridian, ID 83642
Phone (208) 381-0262
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFGFDD
Organizations & group practices 8
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
- Meridian, ID
- NPI 1952141418
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Boise, ID
- NPI 1124066063
-
- Anesthesiology Physician
- Caldwell, ID
- NPI 1568241362
Nurse Anesthetist, Certified Registered
-
dba SAMG Anesthesia
- Anesthesiology Physician
- Boise, ID
- NPI 1386677524
-
- Pain Medicine Physician
- Meridian, ID
- NPI 1477321537
-
- Certified Registered Nurse Anesthetist
- Caldwell, ID
- NPI 1871918318
Nurse Anesthetist, Certified Registered
-
dba St Alphonsus Trauma Physician Services
- Trauma Surgery Physician
- Boise, ID
- NPI 1336166883
-
- Specialist
- Boise, ID
- NPI 1033147467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1063788313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1067 E AZAN ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836467682",
"telephone_number": "208-794-1559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N CURTIS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837061309",
"telephone_number": "208-367-6416",
"fax_number": "208-367-2742"
}
],
"practiceLocations": [
{
"address_1": "2801 Burgundy dr.",
"address_purpose": "LOCATION",
"city": "erie",
"state": "PA",
"postal_code": "16506",
"country_code": "US",
"telephone_number": "208-794-1559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2240 W Everest Ln Ste 150",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836466104",
"country_code": "US",
"telephone_number": "208-794-1559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHOCHAY",
"first_name": "TATIANA",
"middle_name": "V",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-30",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "N36575",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA-831A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.