Organization Active NPI

Socialite Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Roswell, NM
National Provider Identifier
1871032912
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA-01448 Issued in NM
Legal business name
SOCIALITE ANESTHESIA SERVICES, LLC
Practice address
500 N Kentucky Ave
Roswell, NM 88201-4721
Phone
(575) 363-8178
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Dr. Francis Ian C Bicol, DNP, CRNA, APRN
Title
Ceo
Phone
(575) 363-8178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X CRNA-01448 NM Primary

Addresses

Primary practice location

500 N Kentucky Ave
Roswell, NM 88201-4721

Mailing address

500 N Kentucky Ave
Roswell, NM 88201-4721
Phone (575) 363-8178

National Provider Directory

National Provider Directory

Locations

200 W 1st St
Ste 530
Roswell, NM 88203
Phone (575) 363-8178

100 S Michigan Ave
Roswell, NM 88203
Phone (505) 751-7255

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1871032912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N KENTUCKY AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014721",
            "telephone_number": "575-363-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N KENTUCKY AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014721",
            "telephone_number": "575-363-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIALITE ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "BICOL",
        "authorized_official_first_name": "FRANCIS IAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-363-8178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, CRNA, APRN"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA-01448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.