Joan Elyse Backenstoe, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN184932L Issued in PA

Practice address

3147 College Heights Blvd
Allentown, PA 18104-4813

Phone

(610) 841-2432

Fax

(610) 841-4433

NPI assigned

Sep 9, 2005

Last updated

Apr 11, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sacred Heart Healthcare System

  dba Oakwood Medical Center

  • Family Medicine Physician
  • Allentown, PA
  • NPI 1053373548
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1457345035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4653 STEVEN LN",
            "city": "WALNUTPORT",
            "state": "PA",
            "postal_code": "180889619",
            "telephone_number": "610-767-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3147 COLLEGE HEIGHTS BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044813",
            "telephone_number": "610-841-2432",
            "fax_number": "610-841-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKENSTOE",
        "first_name": "JOAN",
        "middle_name": "ELYSE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN184932L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00456743",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1466649",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20035314",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016767680004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Joy Bachman, PA-C
• Debra Bachmura, PSY.D.
• Allison Bachstadt
• Emily Bachstadt
• Cody Owen Backenstoe, CRNA
• Nicole Angelina Badan
• Letitia Annancy Baddoo
• Michael Badellino, MD
• Susan Badu
• Jun Hyuk Baek, PHARMD

• Certified Registered Nurse Anesthetist in Allentown, PA
• Providers in Allentown, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.