Bluebonnet Anesthesia Services PC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

457349 Issued in TX

Legal business name

BLUEBONNET ANESTHESIA SERVICES PC

Practice address

600 N Union Ave
New Braunfels, TX 78130-4194

Phone

(830) 237-2323

Fax

(830) 875-2658

NPI assigned

Sep 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicky Hartdegen, CRNANPI 1851335814

Title

President Owner

Phone

(830) 237-2323

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicky Hartdegen, CRNA

  • Certified Registered Nurse Anesthetist
  • McAllen, TX
  • NPI 1851335814

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699870857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1108",
            "city": "LULING",
            "state": "TX",
            "postal_code": "786481108",
            "telephone_number": "830-237-2323",
            "fax_number": "830-875-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N UNION AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304194",
            "telephone_number": "830-237-2323",
            "fax_number": "830-875-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET ANESTHESIA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTDEGEN",
        "authorized_official_first_name": "NICKY",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "830-237-2323",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "457349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00C85R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jon Bohlmann

• Certified Registered Nurse Anesthetist in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.