Individual provider Active NPI

Carlye Spaulding

  • Certified Registered Nurse Anesthetist
  • Cascade, CO
National Provider Identifier
1699225201
Registry record updated Jun 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201608223CRNA-PP Issued in OR
Practice address
4680 Mariposa LN
Cascade, CO 80809-1807
Phone
(719) 640-6860
NPI assigned
Oct 6, 2016
Last updated
Jun 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 201608223CRNA-PP OR Primary

Addresses

Primary practice location

4680 Mariposa LN
Cascade, CO 80809-1807

Mailing address

PO Box 278
Woodburn, OR 97071-0278
Phone (971) 983-5260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CO, WY, MT, ID5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20170124002774 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577845601 Reassigns benefits to 1 organization
I20200609001231 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577845601 Reassigns benefits to 1 organization
I20220426000051 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577845601 Reassigns benefits to 1 organization
I20221104001042 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577845601 Reassigns benefits to 2 organizations
I20240618003309 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577845601 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Big Horn Hospital District CurrentSince Mar 1, 2022 Accepting new patients
Lincoln Community Hospital CurrentSince May 16, 2023 Accepting new patients
Holistic Pain Management of Colorado LLC CurrentSince Jan 18, 2025 Accepting new patients
Silverton Health CurrentSince Dec 1, 2016 Accepting new patients
Lincoln Community Hospital CurrentSince May 16, 2023 Accepting new patients
North Big Horn Hospital CurrentSince Mar 1, 2022 Accepting new patients
Boundary Community Hospital CurrentSince Jul 1, 2024 Accepting new patients
Boundary Community Hospital CurrentSince Jul 1, 2024 Accepting new patients
Silverton Health CurrentSince Dec 1, 2016 Accepting new patients
St. John's Lutheran Hospital, Inc. CurrentSince Oct 1, 2022 Accepting new patients
HPM of Minnesota PLLC Past Accepting new patients
St. John's Lutheran Hospital, Inc. Past Accepting new patients
Boundary Community Hospital Past Accepting new patients

Locations

3780 N Garfield Ave
Ste 101
Loveland, CO 80538
Phone (214) 504-3005

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

209 Health Park Dr
Libby, MT 59923
Phone (406) 283-7000

350 Louisiana Ave
#A
Libby, MT 59923

401 Louisiana Ave
Libby, MT 59923
Phone (406) 283-7440

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

1115 Lane 12
Lovell, WY 82431
Phone (307) 548-2771

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1699225201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970710278",
            "telephone_number": "971-983-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 MARIPOSA LN",
            "city": "CASCADE",
            "state": "CO",
            "postal_code": "808091807",
            "telephone_number": "719-640-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "CARLYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201608223CRNA-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cascade, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.