Rick M Anderson, CRNA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

N7643 Issued in ID

Practice address

1425 W River St
Boise, ID 83702-6861

Phone

(208) 455-1400

Fax

(208) 455-1449

NPI assigned

Dec 3, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Orthopedic Ambulatory Anesthesia PA

  • Anesthesiology Physician
  • Boise, ID
  • NPI 1114119955
  NPD (past)
• Physician Anesthesia Assoc Inc PS

  • Anesthesiology Physician
  • Yakima, WA
  • NPI 1457432791
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1669654562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W RIVER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026861",
            "telephone_number": "208-455-1400",
            "fax_number": "208-455-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W RIVER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026861",
            "telephone_number": "208-455-1400",
            "fax_number": "208-455-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "RICK",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ID",
            "license": "N7643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "A2278",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Anderson, LPC
• Noel Anderson, PA-C
• Pamela P Anderson, M.A. COUN., LCPC
• Philip Anderson, DO
• Rachael Anderson, LCPC
• Robert A Anderson, RPH
• Robyn L Anderson, CST,CFA
• Ronald Steven Anderson, RN
• Skyler Anderson, PHARMD
• Stephanie Anderson, PHARMD

• Anesthesiology Physician in Boise, ID
• Providers in Boise, ID by specialty
• Anesthesiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.