Individual provider Active NPI

Wesley Chase Sossamon, CRNA

  • Certified Registered Nurse Anesthetist
  • Chandler, AZ
National Provider Identifier
1275955957
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1403 Issued in AZ
Practice address
2248 N Alma School Rd Ste 104
Chandler, AZ 85224-2488
Phone
(833) 534-8273
NPI assigned
Jan 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R82917 AR
Certified Registered Nurse Anesthetist 367500000X C.APN.0100947-C-CRNA CO
Certified Registered Nurse Anesthetist 367500000X C003028 AR
Certified Registered Nurse Anesthetist 367500000X 1403 AZ Primary

Addresses

Primary practice location

2248 N Alma School Rd Ste 104
Chandler, AZ 85224-2488

Mailing address

2158 N Gilbert Rd Ste 101
Mesa, AZ 85203-2109
Phone (833) 534-8273

Other practice location 1

1625 Medical Center Pt Ste 190
Colorado Springs, CO 80907-8721
Phone (719) 345-1047

Other practice location 2

2902 E Grant Rd
Tucson, AZ 85716-2742
Phone (833) 534-8273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R82917ARMDRegistered Nurse
C.APN.0100947-C-CRNACOMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1275955957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 N GILBERT RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032109",
            "telephone_number": "833-534-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 N ALMA SCHOOL RD STE 104",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242488",
            "telephone_number": "833-534-8273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Medical Center Pt Ste 190",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809078721",
            "country_code": "US",
            "telephone_number": "719-345-1047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2902 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857162742",
            "country_code": "US",
            "telephone_number": "833-534-8273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOSSAMON",
        "first_name": "WESLEY",
        "middle_name": "CHASE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-14",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R82917",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "C.APN.0100947-C-CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C003028",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "1403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.