Active NPI
Jill B Guttman, CRNA
- Certified Registered Nurse Anesthetist
- Las Vegas, NV
National Provider Identifier
1306928866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA000250
- Practice address
- 7660 Cowboy TRL
Las Vegas, NV 89131-2129 - Phone
- (702) 743-4822
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN44766 | NV | |
| Registered Nurse | 163W00000X | RN-278073 | OH | |
| Registered Nurse | 163W00000X | 633042 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA000250 | NV | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | NA-07129 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 3086 | CA |
Addresses
Primary practice location
7660 Cowboy TRL
Las Vegas, NV 89131-2129
Mailing address
7660 Cowboy TRL
Las Vegas, NV 89131-2129
Phone (702) 839-4506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2354054 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 633042 | CA | MD | Registered Nurse |
| RN44766 | NV | MD | Registered Nurse |
| RN-278073 | OH | MD | Registered Nurse |
| 3086 | CA | MD | Certified Registered Nurse Anesthetist |
| NA-07129 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MMC of Nevada LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Nevada Anesthesia Professionals LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Mesquite, NV
- NPI 1851346019
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Las Vegas, NV
- NPI 1639498702
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1306928866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7660 COWBOY TRL",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891312129",
"telephone_number": "702-839-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7660 COWBOY TRL",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891312129",
"telephone_number": "702-743-4822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTMAN",
"first_name": "JILL",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN44766",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN-278073",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "633042",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "CRNA000250",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "NA-07129",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "3086",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2354054",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.