Active NPI
Robert E Sanborn, CRNA
- Certified Registered Nurse Anesthetist
- Concord, NH
National Provider Identifier
1790779155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 020462-23-11
- Practice address
- 1 Pillsbury St
Suite 202
Concord, NH 03301-3556 - Phone
- (603) 224-4776
- Fax
- (603) 228-2113
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- 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 | 020462-23-11 | NH | Primary |
Addresses
Primary practice location
1 Pillsbury St
Suite 202
Concord, NH 03301-3556
Mailing address
1 Pillsbury St
Suite 202
Concord, NH 03301-3556
Phone (603) 224-4776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020462-23-11 | Other | NH | ARNP - CRNA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1790779155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PILLSBURY ST",
"address_2": "SUITE 202",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013556",
"telephone_number": "603-224-4776",
"fax_number": "603-228-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PILLSBURY ST",
"address_2": "SUITE 202",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013556",
"telephone_number": "603-224-4776",
"fax_number": "603-228-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANBORN",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "020462-23-11",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP - CRNA LICENSE",
"identifier": "020462-23-11",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.