Individual provider Active NPI

Gia R Forbes, CRNA

  • Certified Registered Nurse Anesthetist
  • Eugene, OR
National Provider Identifier
1366738239
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201903844CRNA Issued in OR
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

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
100035COMDCertified Registered Nurse Anesthetist
201903844CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ba Ventures LLC CurrentSince Sep 12, 2023 Accepting new patients
Chase Gardens Surgery Center LLC CurrentSince Aug 1, 2022 Accepting new patients
Pacific Surgery Center LLC CurrentSince Jan 1, 2022 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.

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.

Verify at the official NPI Registry.