NPIMap

Organization Active NPI

Lakeside Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Sandpoint, ID
National Provider Identifier
1265666598
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA-671 Issued in ID
Legal business name
LAKESIDE ANESTHESIA SERVICES
Practice address
520 N Third Ave
Sandpoint, ID 83864-1507
Phone
(208) 263-1441
NPI assigned
May 14, 2009
Last updated
May 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Lorraine Granfield, CRNANPI 1386656007
Title
Business Owner
Phone
(772) 285-3457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA-671 ID Primary

Addresses

Primary practice location

520 N Third Ave
Sandpoint, ID 83864-1507

Mailing address

PO Box 591
Sagle, ID 83860-0591
Phone (208) 265-3534

Other identifiers 1

IdentifierTypeStateIssuer
APPLYINGOtherIDAPPLYING FOR ALL PROVIDER NUMBERS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1265666598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "SAGLE",
            "state": "ID",
            "postal_code": "838600591",
            "telephone_number": "208-265-3534",
            "fax_number": "208-265-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N THIRD AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641507",
            "telephone_number": "208-263-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "GRANFIELD",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "772-285-3457",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLYING FOR ALL PROVIDER NUMBERS",
            "identifier": "APPLYING",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.