Active NPI
Inland Northwest Anesthesia PLLC
- Certified Registered Nurse Anesthetist
- Coeur d'Alene, ID
National Provider Identifier
1619294303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA570
- Legal business name
- INLAND NORTHWEST ANESTHESIA PLLC
- Practice address
- 850 W Ironwood Dr
Ste 300
Coeur D Alene, ID 83814-4903 - Phone
- (208) 667-1376
- Fax
- (208) 292-0873
- NPI assigned
- Apr 21, 2010
- Last updated
- Apr 21, 2010
- 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. Deborak A King
- Title
- Insurance Coordinator
- Phone
- (208) 667-1376
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA595 | ID | |
| Certified Registered Nurse Anesthetist | 367500000X | RNA570 | ID | Primary |
Addresses
Primary practice location
850 W Ironwood Dr
Ste 300
Coeur D Alene, ID 83814-4903
Mailing address
850 W Ironwood Dr
Ste 300
Coeur D Alene, ID 83814-4903
Phone (208) 667-1376
National Provider Directory
National Provider DirectoryLocations
850 W Ironwood Dr
Ste 300
Coeur D Alene, ID 83814
Phone (208) 457-7078
Practitioners & 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
- Coeur d'Alene, ID
- NPI 1992769343
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271808000000",
"number": "1619294303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W IRONWOOD DR",
"address_2": "STE 300",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838144903",
"telephone_number": "208-667-1376",
"fax_number": "208-292-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W IRONWOOD DR",
"address_2": "STE 300",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838144903",
"telephone_number": "208-667-1376",
"fax_number": "208-292-0873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INLAND NORTHWEST ANESTHESIA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-21",
"last_updated": "2010-04-21",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "DEBORAK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "INSURANCE COORDINATOR",
"authorized_official_telephone_number": "208-667-1376",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA595",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
- Indigo Idaho Services, LLC
- Infectious Disease Medicine LLC
- Jerome F Inghilterra, D.C.
- Inland Empire Ear, Nose Throat and Allergy, PLLC
- Inland Northwest Anesthesia PLLC
- Inland Northwest Renal Care Group, LLC (Fresenius Medical Care Hayden Lake)
- Inland Northwest Renal Care Group, LLC (North Idaho Dialysis Facility)
- Inland Northwest Spine PLLC
- Inland Pediatric Ophthalmology and Strabismus P.L.L.C.
- Inlande Empire Gymnastics Association (Avant Coeur Gymnastics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.