NPIMap

Organization Active NPI

Aspen Anesthesia, LLC

  • Specialist
  • Flagstaff, AZ
National Provider Identifier
1487844551
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
RN089593 Issued in AZ
Legal business name
ASPEN ANESTHESIA, LLC
Practice address
560 N Switzer Canyon Dr
Flagstaff, AZ 86001-4844
Phone
(928) 774-3044
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Marcie Anne Horkins, CRNA, MSNPI 1619073921
Title
Owner
Phone
(928) 774-7254

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X RN089593 AZ Primary

Addresses

Primary practice location

560 N Switzer Canyon Dr
Flagstaff, AZ 86001-4844

Mailing address

PO Box 1124
Flagstaff, AZ 86002-1124
Phone (928) 774-7254

Other identifiers 1

IdentifierTypeStateIssuer
237307MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1487844551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1124",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860021124",
            "telephone_number": "928-774-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N SWITZER CANYON DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014844",
            "telephone_number": "928-774-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "HORKINS",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-774-7254",
        "authorized_official_credential": "CRNA, MS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "RN089593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237307",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.