Active NPI
Bougie Crna LLC
- Certified Registered Nurse Anesthetist
- Peoria, AZ
National Provider Identifier
1609686351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- BOUGIE CRNA LLC
- Practice address
- 13760 N 93Rd Ave Ste 101
Peoria, AZ 85381-4203 - Phone
- (623) 547-2600
- NPI assigned
- Jan 13, 2025
- 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
- Gwladys Dorothee Emaze Best, CRNA
- Title
- Owner
- Phone
- (202) 557-6453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
13760 N 93Rd Ave Ste 101
Peoria, AZ 85381-4203
Mailing address
PO Box 41150
Mesa, AZ 85274-1150
Phone (480) 425-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250129000214 | AZ | Part B Supplier - Clinic/Group Practice | 5799214268 |
Receives reassigned benefits from 2 practitioners Practice locations: Litchfield Park, AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Scottsdale, AZ
- NPI 1811404981
AZ, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bethesda, MD
- NPI 1295007136
AZ, Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1609686351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41150",
"city": "MESA",
"state": "AZ",
"postal_code": "852741150",
"telephone_number": "480-425-2160",
"fax_number": "480-839-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13760 N 93RD AVE STE 101",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814203",
"telephone_number": "623-547-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOUGIE CRNA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-13",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A",
"authorized_official_last_name": "EMAZE BEST",
"authorized_official_first_name": "GWLADYS DOROTHEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "202-557-6453",
"authorized_official_credential": "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": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.