Redmallet Anesthesia PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

643092 Issued in TX

Legal business name

REDMALLET ANESTHESIA PLLC

Practice address

925 S Walnut St
Las Cruces, NM 88001-3955

Phone

(575) 523-6330

NPI assigned

Mar 13, 2017

Last updated

Mar 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael E Cooney, CRNA

Title

Nurse Anesthetist/Owner

Phone

(956) 459-6795

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1558802371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SUNSET LAKE DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209280",
            "telephone_number": "956-459-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S WALNUT ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013955",
            "telephone_number": "575-523-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMALLET ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "COONEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NURSE ANESTHETIST/OWNER",
        "authorized_official_telephone_number": "956-459-6795",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "643092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Registered Nurse Anesthetist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Certified Registered Nurse Anesthetist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.