NPIMap

Organization Active NPI

Westlake Nurse Anesthesia Group

  • Certified Registered Nurse Anesthetist
  • Columbia, KY
National Provider Identifier
1821254566
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1000001 Issued in KY
Legal business name
WESTLAKE NURSE ANESTHESIA GROUP
Practice address
901 Westlake Dr
Columbia, KY 42728-1123
Phone
(270) 384-4753
Fax
(270) 385-9123
NPI assigned
Aug 1, 2008
Last updated
Aug 1, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAIR COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Mr. Rex A Tungate, CEO
Title
Administrator
Phone
(270) 384-4753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1000001 KY Primary

Addresses

Primary practice location

901 Westlake Dr
Columbia, KY 42728-1123

Mailing address

901 Westlake Dr
Columbia, KY 42728-1123
Phone (270) 384-4753

Other identifiers 1

IdentifierTypeStateIssuer
7490035800MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Westlake Cumberland Hos13 organizations share this tax ID, including this one
Part of
Westlake Cumberland Hos

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1821254566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WESTLAKE DR",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281123",
            "telephone_number": "270-384-4753",
            "fax_number": "270-385-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WESTLAKE DR",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281123",
            "telephone_number": "270-384-4753",
            "fax_number": "270-385-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE NURSE ANESTHESIA GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAIR COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "TUNGATE",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "270-384-4753",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1000001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7490035800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.