MOUNTAIN VALLEY ANESTHESIA (NPI# 1275019820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275019820 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN VALLEY ANESTHESIA |
| Practice Address |
750 Hospital Loop Craig CO 81625-8750 |
| Mailing Address |
Po Box 1241 Clark CO 80428-1241 |
| Practice Telephone | 9188505607 |
| Mailing Telephone | 8649151878 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Authorized Official Name | TARA DUPUY HERRERO (MEMBER) |
| Authorized Official Telephone | 8649151878 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | C-APN.0000708-C- | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Mountain Valley Anesthesia LLC | 59280 Cripple Creek Court, Clark, CO 80428 |
| Street Address |
750 HOSPITAL LOOP |
| City | CRAIG |
| State | CO |
| Zip Code | 81625-8750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418424 | The Memorial Hospital | Skilled Nursing Facility | 750 Hospital Loop, Craig, CO 81625 | 2005-06-21 |
| 1437757788 | Cardinal Pathology, PC | Pathology | 750 Hospital Loop, Memorial Regional Health, Craig, CO 81625 | 2020-10-09 |
| 1437773694 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 750 Hospital Loop, Craig, CO 81625-8750 | 2020-06-03 |
| 1447885256 | The Memorial Hospital Facilities Corporation | Ambulance | 750 Hospital Loop, Craig, CO 81625-8750 | 2020-03-12 |
| 1225668346 | Jenna Rose Kaspari | Physical Therapist | 750 Hospital Loop, Craig, CO 81625-8750 | 2020-01-16 |
| 1497396782 | Danika Celeste Friedley Jost | Physical Therapist | 750 Hospital Loop, Craig, CO 81625-8750 | 2019-10-08 |
| 1790259414 | Jennifer Irene Nortz | Physician Assistant | 750 Hospital Loop, Craig, CO 81625-8750 | 2019-01-15 |
| 1386144723 | Madysen Lynne Jourgensen | Dietitian, Registered | 750 Hospital Loop, Craig, CO 81625-8750 | 2018-02-12 |
| 1851803746 | Kelsie Bond | Physician Assistant | 750 Hospital Loop, Craig, CO 81625-8750 | 2017-10-31 |
| 1336667682 | The Memorial Hospital Facilities Corporation | Ambulance | 750 Hospital Loop, Craig, CO 81625-8750 | 2017-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619446481 | County of Moffat | Emergency Medical Technician, Paramedic | 221 W. Victory Way, Suite 130, Craig, CO 81625 | 2018-11-21 |
| 1912374703 | Shannon Mayes | Registered Nurse | 745 Russell Street, Craig, CO 81625 | 2015-08-27 |
| 1407267628 | A & S Counseling | Social Worker | 401 Russell Street, Craig, CO 81625 | 2014-05-09 |
| 1356687727 | Joanne Mattio Snow | Social Worker | 11 W. Victory Way, Suite 209, Craig, CO 81625 | 2012-12-12 |
| 1205163409 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 512 Yampa Ave, Craig, CO 81625 | 2009-11-09 |
| 1124213665 | Steven Paul Walls | Counselor | 11 West Victory Way, Suite# 209, Craig, CO 81625 | 2007-09-07 |
| 1225170970 | Brittany Corrine Doolin | Registered Nurse | 745 Russel St, Craig, CO 81625 | 2007-02-12 |
| 1225170996 | Ann T Irvin | Registered Nurse | 745 Russell St, Nwcvna Craig Moffat County Rio Blanco Co, Craig, CO 81625 | 2007-02-12 |
| 1578644175 | Northwest Colorado Dental Coalition | Clinic/Center | 485 Yampa Avenue, Craig, CO 81625 | 2006-10-18 |
| 1962438218 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 505 W Victory Way, Craig, CO 81625 | 2006-06-25 |
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| 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 |
|---|---|---|---|---|
| 1639568058 | Black Mountain Anesthesia Group | Nurse Anesthetist, Certified Registered | 750 Hospital Loop, Craig, CO 81625-8750 | 2015-01-22 |
| 1720184351 | Michael H Lyon | Nurse Anesthetist, Certified Registered | 750 Hospital Loop, Craig, CO 81625-8750 | 2006-09-14 |
| 1619997327 | John K Prescott | Nurse Anesthetist, Certified Registered | 750 Hospital Loop, Craig, CO 81625-8750 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979342 | Crna Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 7447 E Berry Ave Ste 100, Greenwood Village, CO 80111-2103 | 2019-08-30 |
| 1700390523 | Rocky Mountain Mobile Anesthesia Solutions, LLC | Nurse Anesthetist, Certified Registered | 300 Center Dr Ste G225, Superior, CO 80027-8625 | 2017-12-01 |
| 1790229193 | Freelance Anesthesia Colorado LLC | Nurse Anesthetist, Certified Registered | 18801 E Mainstreet Ste 150, Parker, CO 80134-3477 | 2016-12-05 |
| 1558803577 | Cheryl Botsford | Nurse Anesthetist, Certified Registered | 1899 Denver West Dr Apt 1423, Golden, CO 80401-3137 | 2016-11-08 |
| 1699225201 | Carlye Spaulding | Nurse Anesthetist, Certified Registered | 4680 Mariposa Ln, Cascade, CO 80809-1807 | 2016-10-06 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1750769295 | Advanced Specialty Anesthesia Colorado, LLC | Nurse Anesthetist, Certified Registered | 15121 East Mississippi, Aurora, CO 80012 | 2015-05-18 |
| 1669863627 | Ashley Brooke Billings | Nurse Anesthetist, Certified Registered | 11886 Cattle Ln, Parker, CO 80134-3065 | 2015-02-12 |
| 1154712511 | Katherine Faye Shulman | Nurse Anesthetist, Certified Registered | 6968 W Nova Dr, Littleton, CO 80128 | 2015-02-06 |
| 1245620830 | Tori Taylor | Nurse Anesthetist, Certified Registered | 112 W D St Ste 210-a, Pueblo, CO 81003-3461 | 2015-02-03 |
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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.