Dreamweaver Anesthesia, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

DREAMWEAVER ANESTHESIA, LLC

Practice address

132 S 1St St
Mount Horeb, WI 53572-1949

Phone

(608) 341-7817

NPI assigned

Nov 14, 2022

Organization subpart

No

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

Authorized official

Name

Amanda Eagan, DNP

Title

Owner

Phone

(336) 558-1837

Specialties & licenses 1

Addresses

Other names 1

• Viva Infusions. LLC Doing business as

Locations

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1295443828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S 1ST ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535721949",
            "telephone_number": "608-341-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S 1ST ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535721949",
            "telephone_number": "608-341-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMWEAVER ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-12",
        "status": "A",
        "authorized_official_last_name": "EAGAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-558-1837",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viva Infusions. LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorissa Denure
• Tracy Diehm, BC-HIS
• Jean Louise Dietrich, PT
• Dennis J Dignan
• Cynthia Marie Doran, PHARMD, BCPS
• Timothy D Drews, MD
• Anne R Eglash, MD
• Lisa Marie Fargo, LPN
• Gordon Faulkner, MD
• Cheyenne Jannel Goodwin, RN

• Infusion Therapy Clinic/Center in Mount Horeb, WI
• Providers in Mount Horeb, WI by specialty
• Infusion Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.