Buena Vista Anesthesia Associates PLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D040615 Issued in IA

Legal business name

BUENA VISTA ANESTHESIA ASSOCIATES PLC

Practice address

1525 W 5TH St
Storm Lake, IA 50588

Phone

(573) 686-5550

Fax

(573) 686-2139

NPI assigned

Jan 17, 2006

Last updated

Jul 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie Maxine Krauth, CRNA

Title

Operating Manager

Phone

(573) 686-5550

Specialties & licenses 3

Addresses

Other identifiers 3

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1184603201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S MAIN ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015831",
            "telephone_number": "573-686-5550",
            "fax_number": "573-686-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "50588",
            "telephone_number": "573-686-5550",
            "fax_number": "573-686-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA ANESTHESIA ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "KRAUTH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MAXINE",
        "authorized_official_title_or_position": "OPERATING MANAGER",
        "authorized_official_telephone_number": "573-686-5550",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100514",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "148752",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D040615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAV RR",
            "identifier": "P00252415",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160879",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "40130",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Christine Boll, CRNA
• Jani Lynn Boothby, ARNP
• Shawnna L Bosse, OT ASSISTANT
• Lindsay Ann Brechwald, COTA/L
• Kendra Buchely, LMSW
• Buena Vista Anesthesia Associates PLC
• Buena Vista County (Buena Vista County Public Health & Home Care)
• Buena Vista County
• Buena Vista County Community Services
• Buena Vista Manor Care Center

• Certified Registered Nurse Anesthetist in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.