Wypa Anesthesia, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

WYPA ANESTHESIA, LLC

Practice address

1 Granite Point Dr Ste 200
Wyomissing, PA 19610-1992

Phone

(800) 208-6014

Fax

(706) 850-7733

NPI assigned

Mar 23, 2022

Organization subpart

No

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

Authorized official

Name

Jeffrey K Nickell

Title

Cfo

Phone

(404) 334-0961

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1972252161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 EXPERIMENT STATION RD UNIT 529",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306775378",
            "telephone_number": "706-623-6699",
            "fax_number": "706-850-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GRANITE POINT DR STE 200",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101992",
            "telephone_number": "800-208-6014",
            "fax_number": "706-850-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYPA ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "NICKELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-334-0961"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyomissing Hills Podiatric Surgery Center
• Wyomissing Open MRI, LLC
• Wyomissing Optometric Center, Inc.
• Wyomissing Surgical Clinic, LTD.
• Wyomissing Surgical Services Inc.
• Amanda Yahn
• Andrea M Yannelli-Clark, PT
• Heather Marie Yannuzzi
• Alissa Rayann Yenser, MS, LAT, ATC
• Cheryl L Yesavage, PA-C

• Certified Registered Nurse Anesthetist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.