DARREL PAULUS LARSON (NPI# 1184096620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184096620 |
| Entity Type | Individual |
| Full Name | DARREL PAULUS LARSON |
| Credential | CRNA |
| Practice Address |
10118 W Overland Rd Boise ID 83709-1428 |
| Practice Telephone | 2084503856 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2016-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 53419 | ID | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 118966 | OK | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 53419 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 118966 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10118 W OVERLAND RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558733147 | River City Surgical Center | Clinic/Center | 10118 W Overland Rd, Boise, ID 83709-1428 | 2015-10-22 |
| 1972976694 | R & D Anesthesia | Anesthesiology | 10118 W Overland Rd, Boise, ID 83709-1428 | 2015-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| 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 |
|---|---|---|---|---|
| 1134764293 | Steven J Berg Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 360 E Mallard Dr Ste 125, Boise, ID 83706-3941 | 2019-11-13 |
| 1760584486 | Margaret Minnaert | Nurse Anesthetist, Certified Registered | 1400 W Bannock St, Boise, ID 83702-5233 | 2006-09-02 |
| 1417065152 | Overton-stiff Professional Anesthesia Service Ltd | Nurse Anesthetist, Certified Registered | 6302 Talcrest, Boise, ID 83713-1207 | 2006-08-25 |
| 1891803482 | Walter R Fetterley II | Nurse Anesthetist, Certified Registered | 621 Reserve St, Boise, ID 83712-6354 | 2006-08-25 |
| 1326155698 | Rocky N Vulgamore | Nurse Anesthetist, Certified Registered | 5583 N Crimson Way, Boise, ID 83703-2840 | 2006-08-24 |
| 1801802376 | Sherry Elizabeth Swearngin | Nurse Anesthetist, Certified Registered | 1698 E Seaport Ct, Boise, ID 83706-6333 | 2006-08-01 |
| 1093736290 | Betty Jean Brosh-schoenecker | Nurse Anesthetist, Certified Registered | 10447 W Bucktail Dr, Boise, ID 83714-9522 | 2006-07-22 |
| 1477583649 | Derek G Dennis | Nurse Anesthetist, Certified Registered | 2537 W State St, Boise, ID 83702-2200 | 2006-07-04 |
| 1851369805 | Willam Heady | Nurse Anesthetist, Certified Registered | 7154 W State St #369, Boise, ID 83714-7421 | 2006-03-08 |
| 1710980537 | Christopher J Sours | Nurse Anesthetist, Certified Registered | 501 W Fort St, Boise, ID 83702-4502 | 2005-05-24 |
| Find all providers in BOISE | ||||
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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.