Organization Active NPI

Genesis 221 Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Carson City, NV
National Provider Identifier
1235686965
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA000414 Issued in NV
Legal business name
GENESIS 221 ANESTHESIA SERVICES, LLC
Practice address
1299 Mountain St
Carson City, NV 89703-3816
Phone
(775) 882-4477
Fax
(775) 882-4479
NPI assigned
Sep 11, 2016
Last updated
Sep 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Mrs. Trina Leanne Antonelli, C.R.N.A.NPI 1801032347
Title
Managing Member
Phone
(810) 845-1510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA000414 NV Primary

Addresses

Primary practice location

1299 Mountain St
Carson City, NV 89703-3816

Mailing address

PO Box 660257
Birmingham, AL 35266-0257
Phone (800) 477-4544

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1473552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1235686965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660257",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660257",
            "telephone_number": "800-477-4544",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033816",
            "telephone_number": "775-882-4477",
            "fax_number": "775-882-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS 221 ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "ANTONELLI",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "LEANNE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "810-845-1510",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.R.N.A."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "CRNA000414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.