NPIMap

Organization Active NPI

Amsurg Santa Fe Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Nashville, TN
National Provider Identifier
1356743033
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
AMSURG SANTA FE ANESTHESIA LLC
Practice address
1A Burton Hills Blvd.
Attn: L&C
Nashville, TN 37215-6103
Phone
(615) 240-3720
NPI assigned
Sep 24, 2014
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Jean Kochendorfer
Title
Provider Enrollment & Cred Manager
Phone
(615) 263-4012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

1A Burton Hills Blvd.
Attn: L&C
Nashville, TN 37215-6103

Mailing address

1630 Hospital Dr Ste a
Santa Fe, NM 87505-4772
Phone (505) 988-3373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170906000582 NM Part B Supplier - Clinic/Group Practice 7315210846 Receives reassigned benefits from 13 practitioners
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1356743033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 HOSPITAL DR STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054772",
            "telephone_number": "505-988-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD.",
            "address_2": "ATTN: L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156103",
            "telephone_number": "615-240-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMSURG SANTA FE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2023-09-07",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "KOCHENDORFER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT & CRED MANAGER",
        "authorized_official_telephone_number": "615-263-4012"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.