Active NPI
St. Croix Anesthesia Associates, P.a.
- Certified Registered Nurse Anesthetist
- Lake Elmo, MN
National Provider Identifier
1831142520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- ST. CROIX ANESTHESIA ASSOCIATES, P.A.
- Practice address
- 8650 Hudson Blvd N
Suite 235
Lake Elmo, MN 55042-9747 - Phone
- (651) 702-7405
- NPI assigned
- May 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John R Lowe, CRNA
- Title
- President
- Phone
- (651) 714-2363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
8650 Hudson Blvd N
Suite 235
Lake Elmo, MN 55042-9747
Mailing address
14700 28TH Ave N
Suite 20
Plymouth, MN 55447-4835
Phone (763) 559-3779
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Lake Elmo, MN
- NPI 1912943754
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831142520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14700 28TH AVE N",
"address_2": "SUITE 20",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554474835",
"telephone_number": "763-559-3779",
"fax_number": "763-450-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8650 HUDSON BLVD N",
"address_2": "SUITE 235",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "550429747",
"telephone_number": "651-702-7405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. CROIX ANESTHESIA ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LOWE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-714-2363",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elmo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.