Northwest Anesthesia LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

NORTHWEST ANESTHESIA LLC

Practice address

11919 W Sunset Hwy Ste C2
Airway Heights, WA 99001-9466

Phone

(801) 739-3086

NPI assigned

Aug 29, 2024

Organization subpart

No

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

Authorized official

Name

Taylor Haberman, CRNANPI 1922580877

Title

Owner

Phone

(801) 739-3086

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor K Haberman, CRNA

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
  • NPI 1922580877

  Nurse Anesthetist, Certified Registered

  NPD Authorized official

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1083448237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661495",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352661495",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 W SUNSET HWY STE C2",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990019466",
            "telephone_number": "801-739-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "HABERMAN",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-739-3086",
        "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": []
}

• Stephen Daniel Moore, R.PH.
• Morgan Medical Supply and Transport
• Nora Myrick
• Douglas James Nelson
• Nathaniel Adam Nickerson
• Jan Oliver
• Ashley M Olson, LMT
• Nicole Pedroso, LPN
• Brenda Peone, SUDP-T
• Christina Marie Pitsnogle, CDP

• Certified Registered Nurse Anesthetist in Airway Heights, WA
• Providers in Airway Heights, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.