Carlye Spaulding
Individual provider Active NPI Certified Registered Nurse Anesthetist · Cascade, CO
NPI 1699225201 · NPPES record last updated Jun 5, 2017
Key facts
- NPI
- 1699225201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 201608223CRNA-PP (OR)
- Practice address
- 4680 Mariposa LN
Cascade, CO 80809-1807 - Phone
- (719) 640-6860
- NPI assigned
- Oct 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in OR, CO, WY, MT, ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201608223CRNA-PP | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boundary Community Hospital | Current |
Accepting new patients | |
| Silverton Health | Current |
Accepting new patients | |
| North Big Horn Hospital District | Current |
Accepting new patients | |
| Holistic Pain Management of Colorado LLC | Current |
Accepting new patients | |
| St. John'S Lutheran Hospital, Inc. | Current |
Accepting new patients | |
| Boundary Community Hospital | Current |
Accepting new patients | |
| Lincoln Community Hospital | Current |
Accepting new patients | |
| Silverton Health | Current |
Accepting new patients | |
| North Big Horn Hospital | Current |
Accepting new patients | |
| Lincoln Community Hospital | Current |
Accepting new patients | |
| HPM of Minnesota PLLC | Past | Accepting new patients | |
| Boundary Community Hospital | Past | Accepting new patients |
Locations
3780 N Garfield Ave
Ste 101
Loveland, CO 80538
Phone (800) 928-6040
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
347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
1115 Lane 12
Lovell, WY 82431
Phone (307) 548-2771
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 201608223CRNA-PP | OR | Yes |
Addresses
Primary practice location
4680 Mariposa LN
Cascade, CO 80809-1807
Mailing address
PO Box 278
Woodburn, OR 97071-0278
Phone (971) 983-5260
Other providers in Cascade, CO
- Peak Independence Occupational Therapy and Wellness, LLC
- Amber Nicole Rice
- Sandstone Care Cos, LLC
- Shadow Mountain LLC.
- Southern Colorado Addiction Recovery Center
- Spirited NP, LLC
- Erik Struck
- Erin Sullivan
- Eric Watson
- Shonda N White
All providers in Cascade, CO · Certified Registered Nurse Anesthetist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.