NIGHTLIGHT ANESTHESIA LLC


Address: 530 E 500 S, Salt Lake City, UT 84102-2707
Phone: 8017478017

NIGHTLIGHT ANESTHESIA LLC (NPI# 1780283010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780283010
Entity Type Organization
Organization Name NIGHTLIGHT ANESTHESIA LLC
Practice Address 530 E 500 S
Salt Lake City
UT 84102-2707
Mailing Address Po Box 2573
Idaho Falls
ID 83403-2573
Practice Telephone 8017478017
Mailing Telephone 2085252090
Mailing Fax Number 2085238978
Enumeration Date 2020-10-19
Last Update Date 2020-10-19
Authorized Official Name JEREMY HENRIE (OWNER)
Authorized Official Telephone 8017478017
Authorized Official Credential CRNA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 530 E 500 S
City SALT LAKE CITY
State UT
Zip Code 84102-2707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780885442 Lyssa Inc Clinic/Center 530 E 500 S, Salt Lake City, UT 84102-2746 2007-05-30
1235661992 Devin Joseph Burns Dentist 530 E 500 S, Salt Lake City, UT 84102-2707 2017-03-31
1497905558 William F Hackler Jr. Registered Nurse 530 E 500 S, Salt Lake City, UT 84102-2707 2008-09-25
1114190659 Izzy Inc. Dentist 530 E 500 S, Salt Lake City, UT 84102 2008-04-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942818604 Wendy Vazquez Behavior Technician 515 S 700 E Suit 2a, Salt Lake City, UT 84102 2020-07-20
1407481245 Odyssey House Inc Family Medicine 743 E 300 S, Salt Lake City, UT 84102 2020-03-11
1093359960 Hayle Mayer Behavior Technician 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 2019-11-04
1326680869 Ronald Mcdonald House of The Intermountain Area Meals 935 E. South Temple, Salt Lake City, UT 84102 2019-10-16
1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
1558923144 Olivia Anne Hardwick Social Worker Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 2019-07-03
1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
1700384930 Utah Podiatry Group PC Podiatrist 82 S 1100 E Ste 301, Salt Lake City, UT 84102 2018-01-23
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083223523 Mt Olympus Anesthesia Nurse Anesthetist, Certified Registered 4035 S Splendor Cir, Salt Lake City, UT 84124-2177 2020-07-30
1922627975 Nic-sedation Pllc Nurse Anesthetist, Certified Registered 7138 S Highland Dr Ste 109, Salt Lake City, UT 84121-3776 2020-04-09
1508238551 Miquela Afshar Nurse Anesthetist, Certified Registered 2120 S Highland Dr Apt 611, Salt Lake City, UT 84106-3579 2015-10-28
1215324686 Andrew Bambrough Nurse Anesthetist, Certified Registered 328 W 200 S Apt 308, Salt Lake City, UT 84101-1232 2015-04-22
1487043162 Laura Ann Farley Nurse Anesthetist, Certified Registered 6355 S Wrenhaven Rd, Salt Lake City, UT 84121-2370 2015-01-17
1174762801 Huy Anh Nguyen Nurse Anesthetist, Certified Registered 3683 Hampshire Cir, Salt Lake City, UT 84119-4064 2009-02-19
1225105828 Tatjana Warren Nurse Anesthetist, Certified Registered 30 N 1900 E Rm 3c444, Salt Lake City, UT 84132-2501 2006-11-29
1598861304 Bart R Preston Nurse Anesthetist, Certified Registered 1954 Fort Union Blvd Ste 114, Salt Lake City, UT 84121-6899 2006-09-16
1487665394 Ron W Pulver Nurse Anesthetist, Certified Registered 6360 S 3000 E Ste 310, Salt Lake City, UT 84121 2006-08-10
1477540706 Norma J Peterson Nurse Anesthetist, Certified Registered 65 N Medical Dr, John Moran Eye Center University of Utah, Salt Lake City, UT 84132-1000 2005-10-03
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City SALT LAKE CITY
Zip Code 84102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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