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

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (53 clinicians)

Practice addresses (Care Compare)

910 E 20TH St
Sioux Falls, SD 57105-1012
Phone (605) 334-6730

Hospital & facility affiliations

  • Sioux Falls Specialty Hospital Hospital · Sioux Falls, SD · CCN 430090

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080801000114 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709838402 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
R036822SDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sioux Falls Specialty Hospital, LLP Current
since Jan 15, 2023
Accepting new patients
Sioux Falls Specialty Hospital, LLP Current
since Jan 15, 2023
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)CodeLicenseStatePrimary
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 Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 29, 2008.

{
    "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

All providers in Sioux Falls, SD · Certified Registered Nurse Anesthetist in South Dakota

Sources for this page

Verify at the official NPI Registry.