Siesta Anesthesia LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

SIESTA ANESTHESIA LLC

Practice address

2251 Dubois Dr
Warsaw, IN 46580-3212

Phone

(574) 269-2777

Fax

(574) 371-4697

NPI assigned

Apr 25, 2022

Organization subpart

No

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

Authorized official

Name

Gina Flores, CRNANPI 1285238766

Title

Owner

Phone

(915) 472-2769

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Flores, CRNA

  • Certified Registered Nurse Anesthetist
  • Defiance, OH
  • NPI 1285238766

  IN

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1407590649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 LEON CV",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468450085",
            "telephone_number": "915-472-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 DUBOIS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803212",
            "telephone_number": "574-269-2777",
            "fax_number": "574-371-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIESTA ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-472-2769",
        "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": []
}

• Mackenzie Shireman, DNP, RN, NP-C
• Karen Shivers
• Jill Elaine Shondel, OTR/L
• Janet Shull, MA, LMHC
• David Shultz, LSW
• Laura K Simerman, COTA
• Elizabeth Sisco
• Amanda Skibowski, PHARMD
• Nicole E Slaymaker, PHARMD
• Jill Slonaker, PA-C

• Certified Registered Nurse Anesthetist in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.