Great Basin Pain & Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GREAT BASIN PAIN & WELLNESS LLC

Practice address

1775 Browning Way Ste 102
Elko, NV 89801-8338

Phone

(775) 299-4555

NPI assigned

Aug 15, 2018

Organization subpart

No

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

Authorized official

Name

Michael Hunt, CRNA,FNP-C,APRN

Title

Owner/Partner

Phone

(801) 372-5785

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1932689403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2001",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032001",
            "telephone_number": "208-525-2090",
            "fax_number": "208-523-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 BROWNING WAY STE 102",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018338",
            "telephone_number": "775-299-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT BASIN PAIN & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "801-372-5785",
        "authorized_official_credential": "CRNA,FNP-C,APRN"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Renee Goerdt, CNA
• Mayra Lucia Gonzalez, RDH
• Monica Gonzalez
• McKenzie Jordan Good
• Great Basin Occupational Health and Preventive Medicine, LLC
• Great Basin Surgical Center, LLC
• Valerie A Grinsell, M.A.
• Tessla Marie Griswold
• Marian Zander Groff, CNM MSN
• Alayna Janae Grosz

• Family Nurse Practitioner in Elko, NV
• Providers in Elko, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.