Active NPI
Vance Glenn Gainer Jr., CRNA
- Certified Registered Nurse Anesthetist
- Las Vegas, NV
National Provider Identifier
1093885519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA000229
- Practice address
- 4700 Las Vegas Blvd N
Las Vegas, NV 89191-6600 - Phone
- (702) 653-3526
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA000229 | NV | Primary |
Addresses
Primary practice location
4700 Las Vegas Blvd N
Las Vegas, NV 89191-6600
Mailing address
3157 N Rainbow Blvd
#250
Las Vegas, NV 89108-4578
Phone (702) 308-2711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA000229 | NV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Hospital Corporation | Past | Accepting new patients | |
| Roswell Hospital Corporation | Past | Accepting new patients | |
| General Anesthesia Services a Professional Nursing Corp | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Portsmouth Anesthesia Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 4
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
- Ridgecrest, CA
- NPI 1043483456
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Portsmouth, VA
- NPI 1487677845
-
- Rural Health Clinic/Center
- Dexter, NM
- NPI 1225161474
-
- Family Medicine Physician
- Roswell, NM
- NPI 1427001759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093885519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3157 N RAINBOW BLVD",
"address_2": "#250",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891084578",
"telephone_number": "702-308-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 LAS VEGAS BLVD N",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891916600",
"telephone_number": "702-653-3526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINER",
"first_name": "VANCE",
"middle_name": "GLENN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "CRNA000229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.