Active NPI
Sarah A Butcher, CRNA
- Certified Registered Nurse Anesthetist
- Davenport, IA
National Provider Identifier
1679577951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D-093549
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00235039 | Other | IA | RAILROAD MEDICARE |
| 11639 | Other | IA | BLUE SHIELD |
| 421374509 22 | Other | IA | JOHN DEERE |
| 1567677 | Medicaid | IA |
Other names 1
- Sarah A Freymann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D-093549 | IA | MD | Certified Registered Nurse Anesthetist |
| 209004565 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia & Analgesia PC | Current | Accepting new patients | |
| Precision Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Topeka PA | Past | 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.
-
- Certified Registered Nurse Anesthetist
- Davenport, IA
- NPI 1053741322
IA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Topeka, KS
- NPI 1518933837
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.