Individual provider Active NPI

Garrett Gleaves, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1194325076
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
251520 Issued in AZ
Practice address
2345 E Thomas Rd Ste 400
Phoenix, AZ 85016-7862
Phone
(602) 343-2900
NPI assigned
Oct 29, 2020
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 251520 AZ Primary
Registered Nurse 163W00000X RN217218 AZ

Addresses

Primary practice location

2345 E Thomas Rd Ste 400
Phoenix, AZ 85016-7862

Mailing address

16023 W Evans Dr
Surprise, AZ 85379-5104
Phone (801) 791-1715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210209002027 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113332974 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Canyon Anesthesia LLCGroup PAC ID 3678824752, 50 clinicians
Premier Anesthesia of Arizona PCGroup PAC ID 8224512090, 28 clinicians

Practice addresses (Care Compare)

14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (480) 666-7850

18699 N 67TH Ave
Suite 140
Glendale, AZ 85308-7144
Phone (623) 376-8600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
251520AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Canyon Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Pinnacle Global Health LLC Past Accepting new patients

Locations

2223 E Baseline Rd
Ste B
Gilbert, AZ 85234
Phone (480) 289-5266

2680 S Val Vista Dr
Ste 127
Gilbert, AZ 85295
Phone (480) 253-5656

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1194325076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16023 W EVANS DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795104",
            "telephone_number": "801-791-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E THOMAS RD STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167862",
            "telephone_number": "602-343-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEAVES",
        "first_name": "GARRETT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "251520",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN217218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.