Professional Anesthesia Services

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

N21337 Issued in ID

Legal business name

PROFESSIONAL ANESTHESIA SERVICES

Practice address

1344 Hiland Ave Ste E
Burley, ID 83318-1564

Phone

(208) 677-8888

Fax

(208) 678-5833

NPI assigned

Aug 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie M Acarregui, CRNANPI 1992819361

Title

President

Phone

(208) 587-4833

Specialties & licenses 1

Addresses

Other names 1

• Garrett Professional Anesthesia Services Former legal business name

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.

• Julie M Acarregui, CRNA

  • Certified Registered Nurse Anesthetist
  • Mountain Home, ID
  • NPI 1992819361
  Authorized official Same address or phone

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295842920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046313",
            "telephone_number": "208-525-2090",
            "fax_number": "208-525-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 HILAND AVE STE E",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181564",
            "telephone_number": "208-677-8888",
            "fax_number": "208-678-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACARREGUI",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-587-4833",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "N21337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garrett Professional Anesthesia Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michael Pratt
• Premise Health of Colorado Medical PC (Dot Burley Family Health Center)
• Jennifer Lee Primrose, LPC
• Alberta Sue Prince
• Proactive Physical Therapy PC
• Michelle S Pufahl, PHARM D
• R Bret Campbell DO & Assoc LLC
• Jennifer Raae-Nielsen, MD
• Henry Rainbolt III, PA-C
• Dallon Ray, DO

• Certified Registered Nurse Anesthetist in Burley, ID
• Providers in Burley, ID by specialty
• Certified Registered Nurse Anesthetist in Idaho

• 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.