Premier Anesthesia Services Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1731 Issued in MN

Legal business name

PREMIER ANESTHESIA SERVICES INC

Practice address

1575 20TH St NW # 205a
Faribault, MN 55021-2930

Phone

(507) 209-6226

NPI assigned

Feb 3, 2018

Last updated

Jun 21, 2018By 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

Andrea Berube, CRNANPI 1205223989

Title

Ceo

Phone

(612) 616-7731

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Berube

  • Adult Health Nurse Practitioner
  • Northfield, MN
  • NPI 1205223989
  Authorized official Same address or phone

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

{
    "created_epoch": "1517616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1194224303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450570",
            "telephone_number": "800-444-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW # 205A",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212930",
            "telephone_number": "507-209-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ANESTHESIA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-03",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BERUBE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-616-7731",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "1731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205223989",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Presence Telehealth PLLC (Compcare Urgent Care Faribault)
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• Mary Elizabeth Purdie, OTR
• Misty Purfeerst, O.D.
• Cindi Faye Putrah, LRD

• Certified Registered Nurse Anesthetist in Faribault, MN
• Providers in Faribault, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.