Active NPI
Anesthesia and Pain Management Service of Pueblo
- Certified Registered Nurse Anesthetist
- Pueblo, CO
National Provider Identifier
1942672308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0992033-CRNA
- Legal business name
- ANESTHESIA AND PAIN MANAGEMENT SERVICE OF PUEBLO
- Practice address
- 1800 Fortino Blvd
Suite 2
Pueblo, CO 81008-1890 - Phone
- (719) 543-7877
- NPI assigned
- Oct 26, 2015
- Last updated
- Oct 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brent Butner, CRNA
- Title
- Crna
- Phone
- (970) 261-5183
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0992033-CRNA | CO | Primary |
Addresses
Primary practice location
1800 Fortino Blvd
Suite 2
Pueblo, CO 81008-1890
Mailing address
1800 Fortino Blvd
Suite 2
Pueblo, CO 81008-1890
Phone (719) 543-7877
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Certified Registered Nurse Anesthetist
- Pueblo, CO
- NPI 1629440938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445904000000",
"number": "1942672308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 FORTINO BLVD",
"address_2": "SUITE 2",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081890",
"telephone_number": "719-543-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 FORTINO BLVD",
"address_2": "SUITE 2",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081890",
"telephone_number": "719-543-7877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANESTHESIA AND PAIN MANAGEMENT SERVICE OF PUEBLO",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-27",
"status": "A",
"authorized_official_last_name": "BUTNER",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "CRNA",
"authorized_official_telephone_number": "970-261-5183",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "0992033-CRNA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
- Michelle Nicole Anderson
- Susan Faith Anderson, NP
- Cody Andreis, LAT, ATC
- Jennifer Andrews
- Anesthesia & Pain Management Services of Pueblo
- Anesthesia Management Services, LLC
- Cher Li Ang, PMHNP-BC
- Angel Care Inc. (Visiting Angels - Living Assistance Services)
- Angelo S. Giarratano, D.P.M.
- Emmanuel Hernandez Aniag, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.