Tonia Marie Nicholson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

N-21540 Issued in ID

Practice address

3071 E Franklin Rd
Ste 101
Meridian, ID 83642-2376

Phone

(208) 288-1400

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Intermountain Ambulatory Anesthesia PLLC

  • Anesthesiology Physician
  • Meridian, ID
  • NPI 1073546289
  NPD (past)
• Orthopedic Ambulatory Anesthesia PA

  • Anesthesiology Physician
  • Boise, ID
  • NPI 1114119955
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598874760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046313",
            "telephone_number": "208-525-2090",
            "fax_number": "208-525-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 E FRANKLIN RD",
            "address_2": "STE 101",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422376",
            "telephone_number": "208-288-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "TONIA",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "N-21540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Gyung Nguyen, PHARMD
• Brinley Pham Nguyen, PHARMD
• Jennifer Tram Nguyen, PHARMD
• Vykhang Nguyen, DOCTOR OF PHARMACY
• Nicole Marie Nichols, LMSW
• Samantha Anne Nicolello, RDH
• Christopher Nicolet, PHARMD
• Julia Kate Niederer
• Theresa Lea Niederkruger, LCSW
• Jeffrey Nielsen, PHARMD

• Certified Registered Nurse Anesthetist in Meridian, ID
• Providers in Meridian, ID by specialty
• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.