Organization Active NPI

Pro Vision Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Anchorage, AK
National Provider Identifier
1407524705
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
PRO VISION ANESTHESIA SERVICES
Practice address
111 W 16TH Ave Ste 203
Anchorage, AK 99501-6206
Phone
(765) 284-0493
NPI assigned
Sep 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Wendy Monrad, CRNA
Title
Owner/Auth Official
Phone
(907) 360-7916

Specialties & licenses 1

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

Addresses

Primary practice location

111 W 16TH Ave Ste 203
Anchorage, AK 99501-6206

Mailing address

PO Box 1889
Muncie, IN 47308-1889
Phone (765) 284-0493

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1407524705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1889",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473081889",
            "telephone_number": "765-284-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 16TH AVE STE 203",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995016206",
            "telephone_number": "765-284-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO VISION ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "MONRAD",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER/AUTH OFFICIAL",
        "authorized_official_telephone_number": "907-360-7916",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.