Active NPI
Craig Anderson
- Certified Registered Nurse Anesthetist
- Albuquerque, NM
National Provider Identifier
1902147754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA-01256
- Practice address
- 1720 Louisiana Blvd NE Ste 401
Albuquerque, NM 87110-7020 - Phone
- (505) 260-4300
- Fax
- (505) 260-4371
- NPI assigned
- Mar 4, 2013
- 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 | CRNA-01256 | NM | Primary |
Addresses
Primary practice location
1720 Louisiana Blvd NE Ste 401
Albuquerque, NM 87110-7020
Mailing address
1720 Louisiana Blvd NE Ste 401
Albuquerque, NM 87110-7020
Phone (505) 260-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, UT
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130614000266 | NM | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6608015078 | Reassigns benefits to 1 organization |
| I20180118001812 | UT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6608015078 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA-01256 | NM | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of New Mexico P C | Current | Accepting new patients |
Locations
1720 Louisiana Blvd NE
Ste 401
Albuquerque, NM 87110
Phone (505) 260-4300
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1902147754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 LOUISIANA BLVD NE STE 401",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107020",
"telephone_number": "505-260-4300",
"fax_number": "505-260-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 LOUISIANA BLVD NE STE 401",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107020",
"telephone_number": "505-260-4300",
"fax_number": "505-260-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CRAIG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-04",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "CRNA-01256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.