Rnba LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

RNBA LLC

Practice address

1501 Hiland Ave
Burley, ID 83318-2688

Phone

(208) 525-2090

Fax

(208) 523-8978

NPI assigned

Feb 21, 2019

Last updated

Apr 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rand N Bracken, CRNANPI 1386616332

Title

Owner

Phone

(719) 251-5122

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

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.

• Rand N. Bracken, CRNA

  • Certified Registered Nurse Anesthetist
  • Burley, ID
  • NPI 1386616332
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1659838027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 CRESTVIEW DR",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838439657",
            "telephone_number": "208-525-2090",
            "fax_number": "208-523-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HILAND AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182688",
            "telephone_number": "208-525-2090",
            "fax_number": "208-523-8978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1344 Hiland Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Burley",
            "state": "ID",
            "postal_code": "833181564",
            "country_code": "US",
            "telephone_number": "208-525-2090",
            "fax_number": "208-523-8978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RNBA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "BRACKEN",
        "authorized_official_first_name": "RAND",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-251-5122",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1386616332",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dallon Ray, DO
• Ronald C Rice, DDS
• Spencer Rice, DMD
• River View Urgent Care & Medical Center Inc
• Maria G. Rivera
• Brittany Roberts, PTA
• Spencer John Robertson, M.D.
• Jordan K. Robins, LCSW
• Curtis R Robinson, RT (R)(CT), RPA
• Mitch T Robinson, PA-C

• Certified Registered Nurse Anesthetist in Burley, ID
• Providers in Burley, 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 Apr 9, 2019; 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.

Verify at the official NPI Registry.