NPIMap

Organization Active NPI

Rem Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Shawnee, KS
National Provider Identifier
1417609405
Registry record updated Mar 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
REM ANESTHESIA, LLC
Practice address
6302 Monrovia St
Shawnee, KS 66216-2740
Phone
(785) 845-7502
NPI assigned
Jan 21, 2022
Last updated
Mar 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2022

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

Authorized official

Name
Amber Tiberio, CRNANPI 1033414321
Title
Owner
Phone
(913) 808-0956

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary
Anesthesiology Physician 207L00000X NU

Addresses

Primary practice location

6302 Monrovia St
Shawnee, KS 66216-2740

Mailing address

15600 Alhambra St
Overland Park, KS 66224-8734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220926000583 KS Part B Supplier - Clinic/Group Practice 7911383104 Receives reassigned benefits from 9 practitioners
Practice locations: Wichita, KS; Topeka, KS; Leavenworth, KS; Shawnee, KS; Prairie Village, KS; Overland Park, KS; Olathe, KS; Louisburg, KS…

National Provider Directory

National Provider Directory

Locations

1601 N 98th St
Ste 104
Kansas City, KS 66111
Phone (913) 299-3300

15230 W 87th Street Pkwy
Lenexa, KS 66219
Phone (913) 586-0770

1270 W Amity St
Ste 100
Louisburg, KS 66053
Phone (913) 214-8482

11102 S Noble Dr
Olathe, KS 66061
Phone (913) 609-0399

14420 Metcalf Ave
Overland Park, KS 66223
Phone (913) 387-3500

15933 W 65th St
Shawnee, KS 66217
Phone (913) 239-0703

2037 SE 29th St
Topeka, KS 66605
Phone (785) 267-9500

650 N Carriage Pkwy
Wichita, KS 67208
Phone (316) 686-2721

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647734400000",
    "number": "1417609405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 ALHAMBRA ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662248734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 MONROVIA ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162740",
            "telephone_number": "785-845-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A",
        "authorized_official_last_name": "TIBERIO",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-808-0956",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

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