Jennifer Callahan, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Sioux Falls, SD
NPI 1730136623 · NPPES record last updated Jul 29, 2008
Key facts
- NPI
- 1730136623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- R036822 (SD)
- Practice address
- 1100 E 26TH St
Sioux Falls, SD 57105-4046 - Phone
- (605) 338-7087
- Fax
- (605) 335-3505
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sioux Falls Specialty Hospital, LLP
Practice addresses (Care Compare)
910 E 20TH St
Sioux Falls, SD 57105-1012
Phone (605) 334-6730
Hospital & facility affiliations
- Sioux Falls Specialty Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080801000114 | SD | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6709838402 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R036822 | SD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sioux Falls Specialty Hospital, LLP | Current |
Accepting new patients | |
| Sioux Falls Specialty Hospital, LLP | Current |
Accepting new patients | |
| Anesthesiology Associates | Past | Accepting new patients |
Locations
7600 S Minnesota Ave
Ste 202
Sioux Falls, SD 57108
4928 N Cliff Ave
Sioux Falls, SD 57104
Phone (605) 444-8820
910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R1388996 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | R036822 | SD | Yes |
Addresses
Primary practice location
1100 E 26TH St
Sioux Falls, SD 57105-4046
Mailing address
1100 E 26TH St
Sioux Falls, SD 57105-4046
Phone (605) 338-7087
Other names
- Jennifer Aanenson
NPI Registry JSON
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1730136623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E 26TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054046",
"telephone_number": "605-338-7087",
"fax_number": "605-335-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E 26TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054046",
"telephone_number": "605-338-7087",
"fax_number": "605-335-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "JENNIFER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1388996",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "R036822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "AANENSON",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sioux Falls, SD
- Caleb McKinley, D.D.S., Prof. LLC
- Callaghan Counseling LLC
- Trisha Callaghan
- Ashlee Breanna Callahan
- Brian Callahan
- Erin Rae Callaway
- James Calmus
- Mary B Calmus
- Camma M Murphy
- Carly R Campbell
All providers in Sioux Falls, SD · Certified Registered Nurse Anesthetist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2008. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.