Wake Up Satisfied PA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

WAKE UP SATISFIED PA

Practice address

2241 Hill Park CV Ste B
Jonesboro, AR 72401-6251

Phone

(870) 333-5747

NPI assigned

Jul 11, 2017

Organization subpart

No

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

Authorized official

Name

Dennis King, CRNANPI 1174555833

Title

President

Phone

(573) 686-5550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

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

• Dennis Wayne King, CRNA

  • Certified Registered Nurse Anesthetist
  • Jonesboro, AR
  • NPI 1174555833
  Medicare reassignment Authorized official
• Casey L Humphries, CRNA

  • Certified Registered Nurse Anesthetist
  • Jonesboro, AR
  • NPI 1265458459

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Brian Philip Meier, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1790122810

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lisa J Shackelford, CRNA

  • Certified Registered Nurse Anesthetist
  • Jonesboro, AR
  • NPI 1528074374

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1093237182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 MELTON CIR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017184",
            "telephone_number": "870-530-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 HILL PARK CV STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016251",
            "telephone_number": "870-333-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE UP SATISFIED PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-686-5550",
        "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": []
}

• Tara Lisa Waggoner, FNP, APN-BC
• Devon Taylor Wagner, QBHP
• Holland Victoria Wagner, LCSW
• Jim A Wagner, DDS, MS
• Ruthie Wagner
• Wal-Mart Stores, Inc.
• Wal-Mart Stores, Inc.
• Emily Monique Waldrip, LCSW
• Joseph Anthony Waleszonia, MSPT
• Karlee Waleszonia

• Certified Registered Nurse Anesthetist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.