Organization Active NPI

Tricounty Anesthesia Associates, LTD.

  • Certified Registered Nurse Anesthetist
  • Joliet, IL
National Provider Identifier
1619112380
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
060-004994 Issued in IL
Legal business name
TRICOUNTY ANESTHESIA ASSOCIATES, LTD.
Practice address
219 N Hammes Ave
Joliet, IL 60435-8114
Phone
(815) 741-0095
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Jane A. Kray, CRNA
Title
Partner
Phone
(630) 690-7582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 060-004994 IL Primary

Addresses

Primary practice location

219 N Hammes Ave
Joliet, IL 60435-8114

Mailing address

955 W. Downer Place
Mecs Billing Services
Aurora, IL 60506
Phone (630) 897-6851

Other identifiers 1

IdentifierTypeStateIssuer
02215726OtherILBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1619112380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W. DOWNER PLACE",
            "address_2": "MECS BILLING SERVICES",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "630-897-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358114",
            "telephone_number": "815-741-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICOUNTY ANESTHESIA ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "KRAY",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "630-690-7582",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "060-004994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02215726",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.