Active NPI
Henry M Adams, CRNA
- Certified Registered Nurse Anesthetist
- Blackfoot, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA362
- Practice address
- 1485 Parkway Dr
Blackfoot, ID 83221-1667 - Phone
- (208) 785-5100
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA362 | ID | Primary |
Addresses
Primary practice location
1485 Parkway Dr
Blackfoot, ID 83221-1667
Mailing address
PO Box 2193
Idaho Falls, ID 83403-2193
Phone (208) 552-8777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497833537 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3369 Merlin Dr
Suite a
Idaho Falls, ID 83404-7405
Phone (208) 524-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA362 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackfoot Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valley View Anesthesia PA | Current | Accepting new patients | |
| Ambulatory Surgery Center of Burley, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Eagle Rock Anesthesia, PLLC | Past | Accepting new patients |
Locations
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
1485 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-5100
1344 Hiland Ave
Ste E
Burley, ID 83318
Phone (208) 677-8688
2025 E 17th St
Idaho Falls, ID 83404
Phone (208) 524-2025
2375 E Sunnyside Rd
Ste B
Idaho Falls, ID 83404
Phone (208) 524-0610
3369 Merlin Dr
#A
Idaho Falls, ID 83404
Phone (208) 524-8351
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
1945 E 17th St
Idaho Falls, ID 83404
Phone (208) 529-1945
285 Vista Dr
Pocatello, ID 83201
Phone (208) 233-8344
1157 Call Pl
Pocatello, ID 83201
Phone (208) 221-3876
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Idaho Falls, ID
- NPI 1962030627
-
- Ambulatory Surgical Clinic/Center
- Burley, ID
- NPI 1992706840
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Blackfoot, ID
- NPI 1093826513
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Anesthesiology Physician
- Pocatello, ID
- NPI 1073857991
-
- Ambulatory Surgical Clinic/Center
- Idaho Falls, ID
- NPI 1225488216
-
- Anesthesiology Physician
- Idaho Falls, ID
- NPI 1871761395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1497833537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2193",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834032193",
"telephone_number": "208-552-8777",
"fax_number": "208-523-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 PARKWAY DR",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211667",
"telephone_number": "208-785-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "HENRY",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497833537",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.