Active NPI
Anesthesia Providers, Prof. LLC
- Certified Registered Nurse Anesthetist
- Sioux Falls, SD
National Provider Identifier
1346775657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CR000632
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 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 DirectoryNPI 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.