Thad Hollist, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA-01423 Issued in NM

Practice address

115 Falls Ave W
Twin Falls, ID 83301

Phone

(208) 733-1662

Fax

(208) 733-9463

NPI assigned

Jul 8, 2016

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rock Creek Anesthesia Services PLLCGroup PAC ID 1355604299, 6 clinicians

Blue Lakes AnesthesiaGroup PAC ID 1951841303, 8 clinicians

Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Lakes Anesthesia

  • Certified Registered Nurse Anesthetist
  • Twin Falls, ID
  • NPI 1073344651

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Rock Creek Anesthesia Services PLLC

  • Anesthesiology Physician
  • Twin Falls, ID
  • NPI 1790284198
  Medicare reassignment Care Compare group NPD Authorized official
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia of Idaho PLLC

  • Anesthesiology Physician
  • Pocatello, ID
  • NPI 1912686882
  Medicare reassignment NPD
• Paramount Surgical Services LLC

  • Ambulatory Surgical Clinic/Center
  • Twin Falls, ID
  • NPI 1366292310
  NPD
• Twin Falls Anesthesia Associates LLC

  • Anesthesiology Physician
  • Twin Falls, ID
  • NPI 1952683625
  NPD
• River View Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Twin Falls, ID
  • NPI 1831636752
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Care Compare affiliation

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1639521024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FALLS AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013115",
            "telephone_number": "208-734-3356",
            "fax_number": "208-733-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FALLS AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-733-1662",
            "fax_number": "208-733-9463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Maple St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015630",
            "country_code": "US",
            "telephone_number": "505-609-6648",
            "fax_number": "505-609-2259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1502 Locust St N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833014163",
            "country_code": "US",
            "telephone_number": "208-734-3356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIST",
        "first_name": "THAD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-08",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA-01423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Ann Holbrook, LCPC-S
• Holding Hope Counseling, Inc.
• Holland Chiropractic & Rehab, Inc
• John Hugh Holland, DC
• Samuel Lawrence Holley
• David Paul Holloway, LMFT
• Kristen Holloway, PT
• Craig D Holman, DPM
• Autumn Jane Holmes
• Raymond John Holt Jr., LPC

• Certified Registered Nurse Anesthetist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.