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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
530 E 500 S |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84102-2707 |
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 |
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 |
Find all providers in zip 84102 |
Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(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. |
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 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84102 |
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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.