Active NPI
Willam Heady, CRNA
- Certified Registered Nurse Anesthetist
- Boise, ID
National Provider Identifier
1851369805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA-195-A
- 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, 2012
- 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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| RNA-195-A | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Anesthesiology,PLLC | Past | 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 | Past | 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.
-
- Anesthesiology Physician
- Pueblo, CO
- NPI 1639255409
-
- Anesthesiology Physician
- Coos Bay, OR
- NPI 1619920014
-
- Specialist
- Port Arthur, TX
- NPI 1790701753
-
- Anesthesiology Physician
- Lewes, DE
- NPI 1578618930
-
- Pain Medicine (Anesthesiology) Physician
- Stuart, FL
- NPI 1487606075
-
- Specialist
- Denison, TX
- NPI 1003920828
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.