Organization Active NPI

Anesthesia Providers, Prof. LLC

  • Certified Registered Nurse Anesthetist
  • Sioux Falls, SD
National Provider Identifier
1346775657
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CR000632 Issued in SD
Legal business name
ANESTHESIA PROVIDERS, PROF. LLC
Practice address
7023 S High Cross TRL
Sioux Falls, SD 57108-3332
Phone
(605) 261-5258
NPI assigned
Apr 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Timothy Masselink, CRNA
Title
President/Ceo
Phone
(605) 261-5258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X CR000632 SD Primary

Addresses

Primary practice location

7023 S High Cross TRL
Sioux Falls, SD 57108-3332

Mailing address

7023 S High Cross TRL
Sioux Falls, SD 57108-3332

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1346775657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 S HIGH CROSS TRL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7023 S HIGH CROSS TRL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083332",
            "telephone_number": "605-261-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA PROVIDERS, PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "MASSELINK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-261-5258",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.