Organization Active NPI

Evans Anesthesia Services PC

  • Certified Registered Nurse Anesthetist
  • Boise, ID
National Provider Identifier
1992884928
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
N-23594 Issued in ID
Legal business name
EVANS ANESTHESIA SERVICES PC
Practice address
727 E Riverpark LN
Boise, ID 83706-4069
Phone
(866) 732-8800
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Evans, CRNA
Title
Owner
Phone
(208) 736-0106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X N-23594 ID Primary

Addresses

Primary practice location

727 E Riverpark LN
Boise, ID 83706-4069

Mailing address

PO Box 3207
Idaho Falls, ID 83403-3207
Phone (208) 525-2090

National Provider Directory

National Provider Directory

Locations

727 E Riverpark Ln
Boise, ID 83706
Phone (208) 433-8846

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992884928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3207",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033207",
            "telephone_number": "208-525-2090",
            "fax_number": "208-525-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E RIVERPARK LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064069",
            "telephone_number": "866-732-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS ANESTHESIA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-736-0106",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "N-23594",
            "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 Aug 22, 2020; 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.