NPIMap

Individual provider Active NPI

David Allen, CRNA

  • Certified Registered Nurse Anesthetist
  • Meridian, ID
National Provider Identifier
1740304732
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA-680A Issued in ID
Practice address
3235 N Towerbridge Way Ste 100
Meridian, ID 83646-5721
Phone
(208) 895-6611
NPI assigned
Mar 17, 2007
Last updated
Jul 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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 RNA-680A ID Primary

Addresses

Primary practice location

3235 N Towerbridge Way Ste 100
Meridian, ID 83646-5721

Mailing address

3235 N Towerbridge Way Ste 100
Meridian, ID 83646-5721
Phone (208) 895-6611

Other identifiers 1

IdentifierTypeStateIssuer
2737024MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000089 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284730359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jandk Anesthesia PLLCGroup PAC ID 4880048347, 3 clinicians
Anesthesiology Consultants of Treasure Valley PLLCGroup PAC ID 4981661196, 27 clinicians

Practice addresses (Care Compare)

5976 W Venetian Dr
Eagle, ID 83616-7439
Phone (801) 336-6727

8800 W Emerald St
Boise, ID 83704-8205
Phone (208) 373-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J&K Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2024 Accepting new patients
Anesthesiology Consultants of Treasure Valley PLLC Anesthesiology CurrentSince Feb 5, 2024 Accepting new patients
West Idaho Anesthesia, LLP Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2016 Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Anesthesiology Consultants of Toledo, Inc Anesthesiology Past Accepting new patients
Madison Anesthesia Services PA Anesthesiology Past Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients

Locations

5680 W Gage St
Boise, ID 83706
Phone (208) 377-3937

811 N Liberty St
Boise, ID 83704
Phone (208) 323-4522

8800 W Emerald St
Boise, ID 83704
Phone (208) 373-5000

3115 Medical Dr
Caldwell, ID 83605
Phone (208) 453-8668

3581 E Overland Rd
Meridian, ID 83642
Phone (208) 409-9800

251 SW 19th St
Ontario, OR 97914
Phone (541) 889-3106

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1740304732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 N TOWERBRIDGE WAY STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465721",
            "telephone_number": "208-895-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N TOWERBRIDGE WAY STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465721",
            "telephone_number": "208-895-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DAVID",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-680A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2737024",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.