Active NPI
Christina Stubbs
- Certified Registered Nurse Anesthetist
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 62590
- Practice address
- 3100 Channing Way
Idaho Falls, ID 83404-7533 - Phone
- (866) 487-0277
- NPI assigned
- Jan 31, 2012
- Last updated
- Jan 15, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 62590 | ID | Primary |
Addresses
Primary practice location
3100 Channing Way
Idaho Falls, ID 83404-7533
Mailing address
10 Drew Woods Dr
Derry, NH 03038-4900
Other practice location 1
1 Parkland Dr
Derry, NH 03038-2746
Phone (603) 432-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Anesthesia PA | Current | Accepting new patients | |
| Community Hospital | Current | Accepting new patients | |
| Community Hospital | Current | Accepting new patients | |
| Intermountain Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Hospital | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Ketamine Infusions of Idaho | Current | Accepting new patients | |
| Teton Obstetrics and Gynecology PA | Past | Accepting new patients |
Locations
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
285 Vista Dr
Pocatello, ID 83201
Phone (208) 233-8344
2000 Campbell Dr
Torrington, WY 82240
Phone (307) 532-4181
625 Albany Ave
Torrington, WY 82240
Phone (307) 347-8801
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Anesthesiology Physician
- Idaho Falls, ID
- NPI 1558304329
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pocatello, ID
- NPI 1073857991
-
- Critical Access Hospital
- Torrington, WY
- NPI 1669410643
-
- Infusion Therapy Clinic/Center
- Idaho Falls, ID
- NPI 1730769142
-
- Multi-Specialty Clinic/Center
- Torrington, WY
- NPI 1164950036
-
- Rural Health Clinic/Center
- Torrington, WY
- NPI 1174059786
-
- Obstetrics & Gynecology Physician
- Idaho Falls, ID
- NPI 1780043042
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1932471331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DREW WOODS DR",
"city": "DERRY",
"state": "NH",
"postal_code": "030384900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 CHANNING WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047533",
"telephone_number": "866-487-0277"
}
],
"practiceLocations": [
{
"address_1": "1 Parkland Dr",
"address_purpose": "LOCATION",
"city": "Derry",
"state": "NH",
"postal_code": "030382746",
"country_code": "US",
"telephone_number": "603-432-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUBBS",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-31",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "62590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.