Active NPI
Brenda L Hatch, CRNA
- Certified Registered Nurse Anesthetist
- Blackfoot, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA534
- Practice address
- 98 Poplar St
Blackfoot, ID 83221-1758 - Phone
- (208) 785-4100
- NPI assigned
- Oct 19, 2006
- Last updated
- Dec 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA534 | ID | Primary |
Addresses
Primary practice location
98 Poplar St
Blackfoot, ID 83221-1758
Mailing address
PO Box 829
Blackfoot, ID 83221-0829
Phone (208) 523-4906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00166423 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2025 E 17TH St
Idaho Falls, ID 83404-6430
Phone (208) 529-2230
98 Poplar St
Blackfoot, ID 83221-1758
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA534 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackfoot Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Highline Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Alpine Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Lincoln Hospital District | Current | Accepting new patients | |
| Eagle Rock Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| South Lincoln Hospital District | Past | Accepting new patients | |
| East Idaho Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| South Lincoln Hospital District | Past | Accepting new patients | |
| Eagle Rock Anesthesia, PLLC | Past | Accepting new patients | |
| Teton Foot & Ankle Center, PC | Past | Accepting new patients |
Locations
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
2025 E 17th St
Idaho Falls, ID 83404
Phone (208) 524-2025
3345 S Holmes Ave
Idaho Falls, ID 83404
Phone (208) 528-2858
3345 S Holmes Ave
Ste B
Idaho Falls, ID 83404
Phone (208) 528-2858
1157 Call Pl
Pocatello, ID 83201
Phone (208) 221-3876
711 Onyx St
Kemmerer, WY 83101
Phone (307) 877-4401
Organizations & group practices 11
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.
-
- Certified Registered Nurse Anesthetist
- Idaho Falls, ID
- NPI 1679302137
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Blackfoot, ID
- NPI 1093826513
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Soda Springs, ID
- NPI 1134630320
Nurse Anesthetist, Certified Registered
-
dba South Lincoln Medical Center
- Critical Access Hospital
- Kemmerer, WY
- NPI 1972743011
-
- Ambulatory Surgical Clinic/Center
- Idaho Falls, ID
- NPI 1225488216
-
- Certified Registered Nurse Anesthetist
- Idaho Falls, ID
- NPI 1174602684
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Idaho Falls, ID
- NPI 1871761395
-
- Certified Registered Nurse Anesthetist
- Blackfoot, ID
- NPI 1750651782
Nurse Anesthetist, Certified Registered
-
- Podiatrist
- Idaho Falls, ID
- NPI 1952654881
-
dba South Lincioln Medical Clinic
- Rural Health Clinic/Center
- Kemmerer, WY
- NPI 1386716710
-
dba South Lincoln Medical Specialty Clinic
- Multi-Specialty Clinic/Center
- Kemmerer, WY
- NPI 1861027369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1740362797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 829",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832210829",
"telephone_number": "208-523-4906",
"fax_number": "208-523-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211758",
"telephone_number": "208-785-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "BRENDA",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00166423",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.