Active NPI
Vital Anesthesia Services LLC
- Certified Registered Nurse Anesthetist
- Chester, VA
National Provider Identifier
1508598913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- VITAL ANESTHESIA SERVICES LLC
- Practice address
- 1714 E Hundred Rd
Chester, VA 23836-3310 - Phone
- (804) 681-0556
- Fax
- (804) 410-4619
- NPI assigned
- Jun 26, 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
- Jessica C Burton, CRNA
- Title
- Owner
- Phone
- (325) 675-6466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1714 E Hundred Rd
Chester, VA 23836-3310
Mailing address
3301 S 14TH St Ste 16180
Abilene, TX 79605-5015
Phone (325) 675-6466
Other names 1
- VITAL ANESTHESIA SERVICIES LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656201600000",
"number": "1508598913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 S 14TH ST STE 16180",
"city": "ABILENE",
"state": "TX",
"postal_code": "796055015",
"telephone_number": "325-675-6466",
"fax_number": "325-692-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 E HUNDRED RD",
"city": "CHESTER",
"state": "VA",
"postal_code": "238363310",
"telephone_number": "804-681-0556",
"fax_number": "804-410-4619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL ANESTHESIA SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-26",
"last_updated": "2022-06-26",
"certification_date": "2022-06-26",
"status": "A",
"authorized_official_last_name": "BURTON",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "325-675-6466",
"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": [
{
"organization_name": "VITAL ANESTHESIA SERVICIES LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.