Organization Active NPI

Genesis Anesthesia, Inc.

Doing business as Genesis Anesthesia

  • Certified Registered Nurse Anesthetist
  • Careywood, ID
National Provider Identifier
1649809534
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
GENESIS ANESTHESIA, INC.
Doing business as
Genesis Anesthesia
Practice address
600 N Bishop LN
Careywood, ID 83809
Phone
(208) 683-1179
NPI assigned
Apr 3, 2020
Last updated
Apr 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Mrs. Wendy E Morley, CRNANPI 1962848903
Title
Anesthesia Group Owner, Vice Presid
Phone
(208) 683-1178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

600 N Bishop LN
Careywood, ID 83809

Mailing address

PO Box 255
Bayview, ID 83803-0255
Phone (208) 683-1178

Other practice location 1

602 N Calgary Ct Ste 203
Post Falls, ID 83854-4000
Phone (208) 449-7919 ext. 20844

Other names 2

  • Genesis Anesthesia Doing business as
  • Genesis Anesthesia, Inc Former legal business name

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1649809534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255",
            "city": "BAYVIEW",
            "state": "ID",
            "postal_code": "838030255",
            "telephone_number": "208-683-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BISHOP LN",
            "city": "CAREYWOOD",
            "state": "ID",
            "postal_code": "83809",
            "telephone_number": "208-683-1179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 N Calgary Ct Ste 203",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838544000",
            "country_code": "US",
            "telephone_number": "208-449-7919 x20844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESIS ANESTHESIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "MORLEY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ANESTHESIA GROUP OWNER, VICE PRESID",
        "authorized_official_telephone_number": "208-683-1178",
        "authorized_official_name_prefix": "Mrs.",
        "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": [
        {
            "organization_name": "Genesis Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesis Anesthesia, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Careywood, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.