Organization Active NPI

Everest Anesthesia LLC

  • Anesthesiology Physician
  • Meridian, ID
National Provider Identifier
1427717743
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
EVEREST ANESTHESIA LLC
Practice address
2960 E St Lukes St
Meridian, ID 83642
Phone
(208) 992-4111
NPI assigned
Dec 14, 2021
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Ashlee Lynne Swander
Title
Director of Nursing
Phone
(208) 992-4119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

2960 E St Lukes St
Meridian, ID 83642

Mailing address

2960 E St Lukes St
Meridian, ID 83642
Phone (208) 992-4111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address djbrown@everestsurgicalinstitute.com

National Provider Directory

National Provider Directory

Locations

2960 E St Lukes St Ste 100
Ste 100
Meridian, ID 83642
Phone (208) 378-4264

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1427717743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 E ST LUKES ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-992-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 E ST LUKES ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-992-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "SWANDER",
        "authorized_official_first_name": "ASHLEE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "208-992-4119"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djbrown@everestsurgicalinstitute.com",
            "affiliation": "N",
            "address_1": "2960 E ST LUKES ST",
            "city": "MERIDIAN",
            "state": "ID",
            "country_code": "US",
            "postal_code": "83642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.