Eagle Anesthesia LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

EAGLE ANESTHESIA LLC

Practice address

2264 E Cinema Dr
Meridian, ID 83642

Phone

(208) 381-0262

NPI assigned

Oct 17, 2024

Organization subpart

No

Name

Cassandra Schnell, CRNANPI 1669419313

Title

Owner

Phone

(208) 871-5716

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

• Cassandra Schnell, CRNA

  • Certified Registered Nurse Anesthetist
  • Boise, ID
  • NPI 1669419313

  ID, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2024.

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1104647726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1341",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834031341",
            "telephone_number": "800-338-5378",
            "fax_number": "208-523-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2264 E CINEMA DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-381-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "SCHNELL",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-871-5716",
        "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": []
}

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• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.