NPIMap

Organization Active NPI

Blue Sky Anesthesia Associates PLLC

  • Certified Registered Nurse Anesthetist
  • Farmington, NH
National Provider Identifier
1104336445
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
048036-23 Issued in NH
Legal business name
BLUE SKY ANESTHESIA ASSOCIATES PLLC
Practice address
109 Chestnut Hill Rd
Farmington, NH 03835-3914
Phone
(603) 285-9171
NPI assigned
Sep 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dwayne Joseph Thibeault, ARNP, CRNA
Title
Managing Member/ Owner
Phone
(603) 285-9171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 048036-23 NH Primary

Addresses

Primary practice location

109 Chestnut Hill Rd
Farmington, NH 03835-3914

Mailing address

109 Chestnut Hill Rd
Farmington, NH 03835-3914
Phone (603) 285-9171

Other names 1

  • Blue Sky Solutions Group PLLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104336445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CHESTNUT HILL RD",
            "city": "FARMINGTON",
            "state": "NH",
            "postal_code": "038353914",
            "telephone_number": "603-285-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CHESTNUT HILL RD",
            "city": "FARMINGTON",
            "state": "NH",
            "postal_code": "038353914",
            "telephone_number": "603-285-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY ANESTHESIA ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THIBEAULT",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER/ OWNER",
        "authorized_official_telephone_number": "603-285-9171",
        "authorized_official_credential": "ARNP, CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "048036-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Sky Solutions Group PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Farmington, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.