Organization Active NPI

Michelle Eisenberger

  • Certified Registered Nurse Anesthetist
  • Fort Carson, CA
National Provider Identifier
1275504789
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
99227 Issued in TN
Legal business name
MICHELLE EISENBERGER
Practice address
USA Meddac , Evans Army Community Hospital
1650 Cochrane Circle
Fort Carson, CA 80913-4604
Phone
(719) 526-7844
Fax
(719) 526-7984
NPI assigned
Feb 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Michelle Eisenberger, CRNANPI 1912014515
Title
Nurse Anesthetist
Phone
(719) 527-1213

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 99227 TN Primary

Addresses

Primary practice location

USA Meddac , Evans Army Community Hospital
1650 Cochrane Circle
Fort Carson, CA 80913-4604

Mailing address

USA Meddac , Evans Army Community Hospital
1650 Cochrane Circle
Fort Carson, CA 80913-4604
Phone (719) 526-7844

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": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275504789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA MEDDAC , EVANS ARMY COMMUNITY HOSPITAL",
            "address_2": "1650 COCHRANE CIRCLE",
            "city": "FORT CARSON",
            "state": "CA",
            "postal_code": "809134604",
            "telephone_number": "719-526-7844",
            "fax_number": "719-526-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA MEDDAC , EVANS ARMY COMMUNITY HOSPITAL",
            "address_2": "1650 COCHRANE CIRCLE",
            "city": "FORT CARSON",
            "state": "CA",
            "postal_code": "809134604",
            "telephone_number": "719-526-7844",
            "fax_number": "719-526-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE EISENBERGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EISENBERGER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "NURSE ANESTHETIST",
        "authorized_official_telephone_number": "719-527-1213",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "99227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.