Individual provider Active NPI

Willam Heady, CRNA

  • Certified Registered Nurse Anesthetist
  • Boise, ID
National Provider Identifier
1851369805
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA-195-A Issued in ID
Practice address
7154 W State St #369
Boise, ID 83714-7421
Phone
(208) 859-1081
Fax
(208) 853-4409
NPI assigned
Mar 8, 2006
Last updated
Oct 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA-195-A ID Primary

Addresses

Primary practice location

7154 W State St #369
Boise, ID 83714-7421

Mailing address

7154 W State St
Boise, ID 83714-7421
Phone (208) 859-1081

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

State licenses

LicenseStateTypeSpecialty
RNA-195-AIDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Anesthesiology,PLLC PastSince Jul 10, 2006 Accepting new patients
R Lee Ennis MD PA Past Accepting new patients
Martin County Anesthesia Group PL Past Accepting new patients
Delaware Anesthesia Associates, PA Past Accepting new patients
Bay Group Anesthesia Services, PC Past Accepting new patients
Anesthesia & Pain Management Services of Pueblo PastSince Nov 21, 2015 Accepting new patients
Beaumont Hospital Holdings Inc Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1851369805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7154 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837147421",
            "telephone_number": "208-859-1081",
            "fax_number": "208-853-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7154 W STATE ST #369",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837147421",
            "telephone_number": "208-859-1081",
            "fax_number": "208-853-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADY",
        "first_name": "WILLAM",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-195-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.