Active NPI
Stephen M Carrier, CRNA
- Certified Registered Nurse Anesthetist
- Las Vegas, NV
National Provider Identifier
1114989779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA000436
- Practice address
- 2450 W Charleston Blvd
Las Vegas, NV 89102-2179 - Phone
- (702) 877-8661
- Fax
- (702) 258-1322
- NPI assigned
- Apr 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 162001 | MA | |
| Registered Nurse | 163W00000X | RN77203 | NV | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA000436 | NV | Primary |
Addresses
Primary practice location
2450 W Charleston Blvd
Las Vegas, NV 89102-2179
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114989779 | Medicaid | NV |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA000436 | NV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milford Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ahp of South Broward LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Heywood Medical Group Inc. | Past | Accepting new patients | |
| Jordan Hospital Anesthesia Associates, PC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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
- Hollywood, FL
- NPI 1043520091
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Gardner, MA
- NPI 1699762286
-
- Anesthesiology Physician
- Carver, MA
- NPI 1447203500
-
- Anesthesiology Physician
- Milford, CT
- NPI 1932152097
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1114989779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3272",
"fax_number": "702-667-4667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022179",
"telephone_number": "702-877-8661",
"fax_number": "702-258-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRIER",
"first_name": "STEPHEN",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "162001",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN77203",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "CRNA000436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114989779",
"state": "NV"
}
],
"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 Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.