Organization Active NPI

Brenda Creitz Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Gunnison, CO
National Provider Identifier
1790970432
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
89727 Issued in CO
Legal business name
BRENDA CREITZ ANESTHESIA INC
Practice address
112 W Spencer Ave
Gunnison, CO 81230-2545
Phone
(970) 641-6788
NPI assigned
Sep 6, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Brenda Lee Creitz, CRNANPI 1447282843
Title
President
Phone
(970) 275-0492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 89727 CO Primary

Addresses

Primary practice location

112 W Spencer Ave
Gunnison, CO 81230-2545

Mailing address

PO Box434
Gunnison, CO 81230-0434
Phone (970) 275-0492

Other identifiers 1

IdentifierTypeStateIssuer
49731564MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1790970432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX434",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812300434",
            "telephone_number": "970-275-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W SPENCER AVE",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302545",
            "telephone_number": "970-641-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA CREITZ ANESTHESIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "CREITZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-275-0492",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "89727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49731564",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gunnison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.