Active NPI
Sage Anesthesia Services, LLC
- Certified Registered Nurse Anesthetist
- Beckley, WV
National Provider Identifier
1609584614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- SAGE ANESTHESIA SERVICES, LLC
- Practice address
- 58 Brookshire LN
Beckley, WV 25801-6765 - Phone
- (304) 252-4900
- Fax
- (304) 252-8470
- NPI assigned
- Nov 8, 2022
- Last updated
- Nov 8, 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
- Mrs. Carla Yvette Tracy, CRNA
- Title
- Owner
- Phone
- (304) 638-0295
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | Primary |
Addresses
Primary practice location
58 Brookshire LN
Beckley, WV 25801-6765
Mailing address
5818 County Road 6
Kitts Hill, OH 45645-8813
Phone (304) 638-0295
Other names 1
- Sage Condominium Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Certified Registered Nurse Anesthetist
- Beckley, WV
- NPI 1871669432
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667865600000",
"number": "1609584614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5818 COUNTY ROAD 6",
"city": "KITTS HILL",
"state": "OH",
"postal_code": "456458813",
"telephone_number": "304-638-0295",
"fax_number": "681-238-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 BROOKSHIRE LN",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258016765",
"telephone_number": "304-252-4900",
"fax_number": "304-252-8470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE ANESTHESIA SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A",
"authorized_official_last_name": "TRACY",
"authorized_official_first_name": "CARLA",
"authorized_official_middle_name": "YVETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-638-0295",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sage Condominium Services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.