Active NPI
Julie M Acarregui, CRNA
- Certified Registered Nurse Anesthetist
- Mountain Home, ID
National Provider Identifier
1992819361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA-432-A
- Practice address
- 3510 NE June Lane
Mountain Home, ID 83647-5307 - Phone
- (208) 794-0169
- NPI assigned
- Aug 19, 2006
- Last updated
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
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-432-A | ID | Primary |
Addresses
Primary practice location
3510 NE June Lane
Mountain Home, ID 83647-5307
Mailing address
3510 NE June Lane
Mountain Home, ID 83647
Phone (208) 587-4833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA-432-A | ID | MD | Certified Registered Nurse Anesthetist |
Organizations & group practices 1
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
- Burley, ID
- NPI 1295842920
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": "1443052800000",
"number": "1992819361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 NE JUNE LANE",
"city": "MOUNTAIN HOME",
"state": "ID",
"postal_code": "83647",
"telephone_number": "208-587-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 NE JUNE LANE",
"city": "MOUNTAIN HOME",
"state": "ID",
"postal_code": "836475307",
"telephone_number": "208-794-0169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACARREGUI",
"first_name": "JULIE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA-432-A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.