Thomas J Dredla III, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

100028 Issued in NE

Practice address

4021 Avenue B
Scottsbluff, NE 69361-4602

Phone

(308) 641-1311

Fax

(308) 630-1656

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Regional West Medical Center

  • Emergency Medicine Physician
  • Scottsbluff, NE
  • NPI 1982718219

  NE, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Regional West Medical Center

  • Anesthesiology Physician
  • Scottsbluff, NE
  • NPI 1215106356

  Nurse Anesthetist, Certified Registered

  NPD
• Box Butte General Hospital

  • Rural Health Clinic/Center
  • Hemingford, NE
  • NPI 1609944388
  NPD (past)
• Box Butte General Hospital

  • Clinic/Center
  • Alliance, NE
  • NPI 1871652453
  NPD (past)
• Hastings Anesthesiology Associates PC

  • Anesthesiology Physician
  • Hastings, NE
  • NPI 1932100344
  NPD (past)
• North Platte Nebraska Physician Group LLC

  • Emergency Medicine Physician
  • North Platte, NE
  • NPI 1740465715

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1164594669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 AVENUE B",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614602",
            "telephone_number": "308-641-1311",
            "fax_number": "308-630-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 AVENUE B",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614602",
            "telephone_number": "308-641-1311",
            "fax_number": "308-630-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREDLA",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald E. Fischer, MD, PC
• Amanda Kay Douglass
• Kelsi Shaye Dove
• Lisa Downey, M.S., CCC-SLP
• Dr. Gage Stermensky LLC
• Thomas J Dredla, CRNA
• Karen Kay Driessen, COTA/L
• Christine Elaine Duarte
• Teresa Duarte
• Carol Dubray

• All providers in Scottsbluff, NE
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.