Organization Active NPI

Independent Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Mayetta, KS
National Provider Identifier
1932306883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54661 Issued in KS
Legal business name
INDEPENDENT ANESTHESIA SERVICES, LLC
Practice address
14395 Hwy 75
Mayetta, KS 66509
Phone
(785) 966-3138
Fax
(785) 966-3138
NPI assigned
Jul 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lou Ann Clouse, CRNA
Title
President
Phone
(785) 966-3138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 54661 KS Primary

Addresses

Primary practice location

14395 Hwy 75
Mayetta, KS 66509

Mailing address

14395 Hwy 75
Mayetta, KS 66509
Phone (785) 966-3138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070808000074 KS Part B Supplier - Clinic/Group Practice 9234220070 Receives reassigned benefits from 1 practitioner
Practice locations: Manhattan, KS

National Provider Directory

National Provider Directory

Locations

1310A Westloop Pl
Manhattan, KS 66502

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932306883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14395 HWY 75",
            "city": "MAYETTA",
            "state": "KS",
            "postal_code": "66509",
            "telephone_number": "785-966-3138",
            "fax_number": "785-966-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14395 HWY 75",
            "city": "MAYETTA",
            "state": "KS",
            "postal_code": "66509",
            "telephone_number": "785-966-3138",
            "fax_number": "785-966-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLOUSE",
        "authorized_official_first_name": "LOU ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-966-3138",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayetta, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.