Active NPI
Quality Sleep Anesthesia P.C.
- Pain Clinic/Center
- Idaho Falls, ID
National Provider Identifier
1316305519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- RNA382A
- Legal business name
- QUALITY SLEEP ANESTHESIA P.C.
- Practice address
- 3155 Channing Way Ste a
Idaho Falls, ID 83404 - Phone
- (208) 569-5818
- NPI assigned
- Feb 2, 2016
- Last updated
- Feb 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Greg D Nebeker, CRNA
- Title
- Nurse Anesthetist
- Phone
- (208) 569-5818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | RNA382A | ID | Primary |
Addresses
Primary practice location
3155 Channing Way Ste a
Idaho Falls, ID 83404
Mailing address
3155 Channing Way Ste a
Idaho Falls, ID 83404-7534
Phone (208) 569-5818
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454371200000",
"number": "1316305519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 CHANNING WAY STE A",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047534",
"telephone_number": "208-569-5818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 CHANNING WAY STE A",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "83404",
"telephone_number": "208-569-5818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY SLEEP ANESTHESIA P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-02",
"last_updated": "2016-02-02",
"status": "A",
"authorized_official_last_name": "NEBEKER",
"authorized_official_first_name": "GREG",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "NURSE ANESTHETIST",
"authorized_official_telephone_number": "208-569-5818",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "ID",
"license": "RNA382A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.