Southern Girl Anesthesia Services Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

PENDING Issued in AZ

Legal business name

SOUTHERN GIRL ANESTHESIA SERVICES INC

Practice address

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831

Phone

(928) 368-8118

Fax

(928) 368-8121

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Melissa Kemper, CRNA

Title

Owner

Phone

(928) 368-8118

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1548409451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859370295",
            "telephone_number": "928-368-8118",
            "fax_number": "928-368-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E SHOW LOW LAKE RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017831",
            "telephone_number": "928-368-8118",
            "fax_number": "928-368-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN GIRL ANESTHESIA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-368-8118",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Show Low, AZ
• Providers in Show Low, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.