Sacquitne Anesthesia LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

SACQUITNE ANESTHESIA LLC

Practice address

1515 Park Ave
Columbus, WI 53925-2402

Phone

(920) 623-2200

NPI assigned

Sep 11, 2023

Last updated

Sep 11, 2023By 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

Andrew Sacquitne, DNP, CRNANPI 1649777293

Title

Nurse Anesthetist

Phone

(563) 379-4131

Specialties & licenses 1

Addresses

Locations

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.

• Andrew Sacquitne

  • Certified Registered Nurse Anesthetist
  • Iowa City, IA
  • NPI 1649777293

  Nurse Anesthetist, Certified Registered

  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1609653013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PRAIRIE ST",
            "city": "FALL RIVER",
            "state": "WI",
            "postal_code": "539329649",
            "telephone_number": "563-379-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PARK AVE",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539252402",
            "telephone_number": "920-623-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACQUITNE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A",
        "authorized_official_last_name": "SACQUITNE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "NURSE ANESTHETIST",
        "authorized_official_telephone_number": "563-379-4131",
        "authorized_official_credential": "DNP, 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": []
}

• Rocky Mountain Urology LLC
• Rocky Mountain Urology,LLC
• Amanda Romens, PA-C
• Susan E. Rupp, DC
• Jerrold C Russell, OD
• Sagewood Healing
• Dane Andrew Schepp, D.C
• Kimberly Schoenberger, PT
• Rachel E Selm, CERTIFIED DIETITIAN
• Kelly Marie Servais, DDS

• Certified Registered Nurse Anesthetist in Columbus, WI
• Providers in Columbus, WI by specialty
• Certified Registered Nurse Anesthetist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.