Individual provider Active NPI

Leanne Tawoda, CRNA

  • Certified Registered Nurse Anesthetist
  • Show Low, AZ
National Provider Identifier
1073585758
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN044839 Issued in AZ
Practice address
2200 E Show Low Lake Rd
Show Low, AZ 85901-7881
Phone
(928) 537-4375
Fax
(928) 537-2466
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN044839 AZ Primary

Addresses

Primary practice location

2200 E Show Low Lake Rd
Show Low, AZ 85901-7881

Mailing address

PO Box 3424
Pinetop, AZ 85935-3424
Phone (928) 537-4709

Other identifiers 1

IdentifierTypeStateIssuer
480210MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116000398 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385608785 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
47164AZMDNeuro-ophthalmology Physician
RN044839AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD Current Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Mar 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Mar 1, 2020 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Southwestern Eye Center, LTD CurrentSince Oct 1, 2019 Accepting new patients
Northeastern Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2011 Accepting new patients
Southwestern Eye Center LTD CurrentSince Oct 1, 2019 Accepting new patients
Squaw Peak Anesthesia Inc Past Accepting new patients
Snoozers Inc Nurse Anesthetist, Certified Registered PastSince Jan 1, 1990 Accepting new patients
Care for Kids of Arizona Past Accepting new patients

Locations (25 of 29)

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2242 W 16th St
Safford, AZ 85546
Phone (928) 428-0068

4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

95 Soldiers Pass Rd
Ste A2
Sedona, AZ 86336
Phone (928) 203-1177

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

1610 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 537-3937

4951 S White Mountain Rd
Ste B
Show Low, AZ 85901
Phone (928) 537-4375

1500 S White Mountain Rd
Ste 300
Show Low, AZ 85901
Phone (928) 532-1605

75 Colonia de Salud
Ste 100A
Sierra Vista, AZ 85635
Phone (520) 459-6860

14820 N Del Webb Blvd
Sun City, AZ 85351

10615 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 933-3024

10615 W Thunderbird Blvd
Ste A100
Sun City, AZ 85351
Phone (623) 977-9600

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073585758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3424",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859353424",
            "telephone_number": "928-537-4709",
            "fax_number": "928-537-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E SHOW LOW LAKE RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017881",
            "telephone_number": "928-537-4375",
            "fax_number": "928-537-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWODA",
        "first_name": "LEANNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN044839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "480210",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.