Active NPI
Alexa M Honstad, CRNA
- Certified Registered Nurse Anesthetist
- Ashland, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6684-33
- Practice address
- Memorial Medical Center, Inc
1615 Maple Lane
Ashland, WI 54806 - Phone
- (715) 685-5500
- Fax
- (715) 682-4022
- NPI assigned
- Oct 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 167904-30 | WI | |
| Nurse Practitioner | 363L00000X | 6684-33 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 6684-33 | WI | Primary |
Addresses
Primary practice location
Memorial Medical Center, Inc
1615 Maple Lane
Ashland, WI 54806
Mailing address
1615 Maple Lane
Ashland, WI 54806
Phone (715) 685-5500
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 |
|---|---|---|---|
| 167904-30 | WI | MD | Registered Nurse |
| 6684-33 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| North Shore Anesthesia P.a | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1420 London Rd
Ste 100
Duluth, MN 55805
Phone (218) 728-0650
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Ashland, WI
- NPI 1437179231
-
- Rural Health Clinic/Center
- Ashland, WI
- NPI 1770255937
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Anesthesiology Physician
- Duluth, MN
- NPI 1922051291
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1922479195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 MAPLE LANE",
"city": "ASHLAND",
"state": "WI",
"postal_code": "54806",
"telephone_number": "715-685-5500",
"fax_number": "715-682-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEMORIAL MEDICAL CENTER, INC",
"address_2": "1615 MAPLE LANE",
"city": "ASHLAND",
"state": "WI",
"postal_code": "54806",
"telephone_number": "715-685-5500",
"fax_number": "715-682-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONSTAD",
"first_name": "ALEXA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-14",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "167904-30",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "6684-33",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "6684-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.