Active NPI
Timothy A Powell
- Certified Registered Nurse Anesthetist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA-579
- Practice address
- 111 W State St
Boise, ID 83702-6127 - Phone
- (208) 336-0895
- NPI assigned
- Aug 19, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- 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 | RNA-579 | ID | Primary |
Addresses
Primary practice location
111 W State St
Boise, ID 83702-6127
Mailing address
111 W State St
Boise, ID 83702-6127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
251 SW 19TH St
Ontario, OR 97914-1972
Phone (541) 889-3198
3115 Medical Dr
Caldwell, ID 83605-6972
Phone (208) 453-8668
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA-579 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Ambulatory Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Idaho Anesthesia Partners LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Consulting Partners Idaho, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cardiac and Arrhythmia Center of Idaho PLLC | Current | Accepting new patients | |
| West Idaho Anesthesia, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Boise, P.a. | Past | Accepting new patients | |
| Sheridan Healthcare of Washington, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sheridan Healthcare of Washington, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Everest ASC | Past | Accepting new patients | |
| Tahoma Anesthesiology Consultants PS | Past | Accepting new patients | |
| Narrows Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
600 N Robbins Rd
Ste 401
Boise, ID 83702
Phone (208) 489-4279
811 N Liberty St
Boise, ID 83704
Phone (208) 323-4522
1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719
3115 Medical Dr
Caldwell, ID 83605
Phone (208) 453-8668
1828 S Millenium Way
Ste 100
Meridian, ID 83642
Phone (208) 381-0262
2960 E St Lukes St
Ste 100
Meridian, ID 83642
Phone (208) 378-4264
3071 E Franklin Rd
Ste 101
Meridian, ID 83642
Phone (208) 288-1400
875 S Vanguard Way
Ste 300
Meridian, ID 83642
Phone (208) 960-0650
251 SW 19th St
Ontario, OR 97914
Phone (541) 889-3106
Organizations & group practices 11
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.
-
- Certified Registered Nurse Anesthetist
- Caldwell, ID
- NPI 1871918318
Nurse Anesthetist, Certified Registered, OR
-
- Anesthesiology Physician
- Caldwell, ID
- NPI 1568241362
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Meridian, ID
- NPI 1073546289
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Meridian, ID
- NPI 1174468011
Nurse Anesthetist, Certified Registered
-
- Clinical Cardiac Electrophysiology Physician
- Meridian, ID
- NPI 1629707740
-
- Specialist
- Boise, ID
- NPI 1033147467
-
- Ambulatory Surgical Clinic/Center
- Meridian, ID
- NPI 1689349219
-
- Anesthesiology Physician
- Tacoma, WA
- NPI 1801026315
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Port Angeles, WA
- NPI 1386030948
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Olympia, WA
- NPI 1386883775
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Olympia, WA
- NPI 1699723023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1972617363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W STATE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W STATE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026127",
"telephone_number": "208-336-0895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "TIMOTHY",
"middle_name": "A",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA-579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.