Active NPI
Icare Anesthesia Services LLC
- Certified Registered Nurse Anesthetist
- Las Cruces, NM
National Provider Identifier
1497408199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- ICARE ANESTHESIA SERVICES LLC
- Practice address
- 1205 S Telshor Blvd
Las Cruces, NM 88011-4748 - Phone
- (573) 686-5550
- NPI assigned
- Feb 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ike Iyamu, CRNA
- Title
- Managing Member
- Phone
- (573) 686-5550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1205 S Telshor Blvd
Las Cruces, NM 88011-4748
Mailing address
2511 N Westwood Blvd Ste B
Poplar Bluff, MO 63901-2303
Phone (573) 686-5550
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643760000000",
"number": "1497408199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 N WESTWOOD BLVD STE B",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012303",
"telephone_number": "573-686-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 S TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114748",
"telephone_number": "573-686-5550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICARE ANESTHESIA SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-02",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A",
"authorized_official_last_name": "IYAMU",
"authorized_official_first_name": "IKE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "573-686-5550",
"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": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.