Individual provider Active NPI

Sarah A Butcher, CRNA

  • Certified Registered Nurse Anesthetist
  • Davenport, IA
National Provider Identifier
1679577951
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D-093549 Issued in IA
Practice address
3400 Dexter CT
Davenport, IA 52807-3461
Phone
(563) 344-6600
NPI assigned
Jun 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D-093549 IA Primary
Certified Registered Nurse Anesthetist 367500000X IL

Addresses

Primary practice location

3400 Dexter CT
Davenport, IA 52807-3461

Mailing address

3122 52ND Avenue CT
Bettendorf, IA 52722-6952
Phone (563) 332-1844

Other identifiers 4

IdentifierTypeStateIssuer
P00235039OtherIARAILROAD MEDICARE
11639OtherIABLUE SHIELD
421374509 22OtherIAJOHN DEERE
1567677MedicaidIA

Other names 1

  • Sarah A Freymann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040518001092 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375437569 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
D-093549IAMDCertified Registered Nurse Anesthetist
209004565ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia & Analgesia PC CurrentSince Jun 1, 2012 Accepting new patients
Precision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2013 Accepting new patients
Anesthesia Associates of Topeka PA PastSince Aug 5, 1993 Accepting new patients

Locations

3400 Dexter Ct
Ste 200
Davenport, IA 52807
Phone (563) 344-6600

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

3319 Spring St
Davenport, IA 52807
Phone (319) 359-1641

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679577951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 52ND AVENUE CT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226952",
            "telephone_number": "563-332-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 DEXTER CT",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073461",
            "telephone_number": "563-344-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-093549",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00235039",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "11639",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "421374509 22",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1567677",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "FREYMANN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.