Active NPI
Gia R Forbes, CRNA
- Certified Registered Nurse Anesthetist
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201903844CRNA
- Practice address
- 1125 Darlene LN Ste 201
Eugene, OR 97401-1601 - Phone
- (541) 683-5488
- NPI assigned
- Jun 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 100035 | CO | |
| Certified Registered Nurse Anesthetist | 367500000X | 201903844CRNA | OR | Primary |
Addresses
Primary practice location
1125 Darlene LN Ste 201
Eugene, OR 97401-1601
Mailing address
1125 Darlene LN Ste 201
Eugene, OR 97401-1601
Phone (541) 683-5488
Other practice location 1
3910 S Carefree Cir Ste C
Colorado Springs, CO 80917
Phone (719) 599-5753
Other practice location 2
3910 S Carefree Cir Ste C
Colorado Springs, CO 80917
Phone (719) 599-5753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190807003592 | OR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7810168168 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100035 | CO | MD | Certified Registered Nurse Anesthetist |
| 201903844CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ba Ventures LLC | Current | Accepting new patients | |
| Chase Gardens Surgery Center LLC | Current | Accepting new patients | |
| Pacific Surgery Center LLC | Current | Accepting new patients | |
| Novamed Surgery Center of Denver LLC | Past | Accepting new patients | |
| Novamed Surgery Center of Colorado Springs, LLC | Past | Accepting new patients |
Locations
1125 Darlene Ln
Ste 201
Eugene, OR 97401
Phone (541) 342-1845
1125 Darlene Ln
Eugene, OR 97401
Phone (541) 683-5488
360 S Garden Way
Ste 100
Eugene, OR 97401
Phone (541) 334-0488
2435 NW Kline St
Roseburg, OR 97471
Phone (541) 672-2020
Organizations & group practices 5
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.
-
- Ambulatory Surgical Clinic/Center
- Colorado Springs, CO
- NPI 1750386322
-
- Ambulatory Surgical Clinic/Center
- Englewood, CO
- NPI 1508862624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1366738239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 DARLENE LN STE 201",
"city": "EUGENE",
"state": "OR",
"postal_code": "974011601",
"telephone_number": "541-683-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 DARLENE LN STE 201",
"city": "EUGENE",
"state": "OR",
"postal_code": "974011601",
"telephone_number": "541-683-5488"
}
],
"practiceLocations": [
{
"address_1": "3910 S Carefree Cir Ste C",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "80917",
"country_code": "US",
"telephone_number": "719-599-5753",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3910 S Carefree Cir Ste C",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "80917",
"country_code": "US",
"telephone_number": "719-599-5753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORBES",
"first_name": "GIA",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "100035",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201903844CRNA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.