RENEE ANDERSON, CRNA - NPI NUMBER 1457339848

Summary

Provider Name: RENEE ANDERSON, CRNA

NPI Number: 1457339848

Clasification: Nurse Anesthetist, Certified Registered (367500000X)

Organization: SAN MIGUEL HOSPITAL CORPORATION

Address:
1801 16TH ST
GREELEY, CO
ZIP 80631

Phone Number: (970) 350-6399



Detailed Information

Renee Anderson, CRNA is a nurse anesthetist, certified registered in Greeley, CO with 40 years of experience. The provider is (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. The assigned NPI number for this provider is 1457339848 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Graduation Year: 1974

The provider's business address is:

1801 16TH ST
GREELEY, CO
ZIP 80631-154
Phone: (970) 350-6399
Fax: (970) 378-4687

The enumeration date for this NPI number is 1/5/2006 and was last updated on 12/15/2009.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 367500000X Nurse Anesthetist, Certified Registered R46512 NM No
2 367500000X Nurse Anesthetist, Certified Registered CRA-644 CO Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 897837 OTHER AZ AHCCCS
2 10001388 OTHER NM LOVELACE HEALTH/SALUD
3 CO41192 MEDICARE PIN CO
4 07530207 MEDICAID CO
5 E0548 MEDICAID NM
6 201033429 OTHER NM PRESBYTERIAN HEALTH/SALUD
7 NM009S64 OTHER NM BC/BS
8 PROVP11218 OTHER NM MOLINA
9 344503401 MEDICARE ID-TYPE UNSPECIFIED

NPI Record

No. Field Name Field Value
1 NPI 1457339848
2 Entity Type Code 1
3 Provider Last Name Legal Name ANDERSON
4 Provider First Name RENEE
5 Provider Credential Text CRNA
6 Provider First Line Business Practice Location Address 1801 16TH ST
7 Provider Business Practice Location Address City Name GREELEY
8 Provider Business Practice Location Address State Name CO
9 Provider Business Practice Location Address Postal Code 806315154
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 9703506399
12 Provider Business Practice Location Address Fax Number 9703784687
13 Provider Enumeration Date 1/5/2006
14 Last Update Date 12/15/2009
15 Provider Gender Code F
16 Healthcare Provider Taxonomy Code 1 367500000X
17 Provider License Number 1 R46512
18 Provider License Number State Code 1 NM
19 Healthcare Provider Primary Taxonomy Switch 1 N
20 Healthcare Provider Taxonomy Code 2 367500000X
21 Provider License Number 2 CRA-644
22 Provider License Number State Code 2 CO
23 Healthcare Provider Primary Taxonomy Switch 2 Y
24 Other Provider Identifier 1 897837
25 Other Provider Identifier Type Code 1 01
26 Other Provider Identifier State 1 AZ
27 Other Provider Identifier Issuer 1 AHCCCS
28 Other Provider Identifier 2 10001388
29 Other Provider Identifier Type Code 2 01
30 Other Provider Identifier State 2 NM
31 Other Provider Identifier Issuer 2 LOVELACE HEALTH/SALUD
32 Other Provider Identifier 3 CO41192
33 Other Provider Identifier Type Code 3 08
34 Other Provider Identifier State 3 CO
35 Other Provider Identifier 4 07530207
36 Other Provider Identifier Type Code 4 05
37 Other Provider Identifier State 4 CO
38 Other Provider Identifier 5 E0548
39 Other Provider Identifier Type Code 5 05
40 Other Provider Identifier State 5 NM
41 Other Provider Identifier 6 201033429
42 Other Provider Identifier Type Code 6 01
43 Other Provider Identifier State 6 NM
44 Other Provider Identifier Issuer 6 PRESBYTERIAN HEALTH/SALUD
45 Other Provider Identifier 7 NM009S64
46 Other Provider Identifier Type Code 7 01
47 Other Provider Identifier State 7 NM
48 Other Provider Identifier Issuer 7 BC/BS
49 Other Provider Identifier 8 PROVP11218
50 Other Provider Identifier Type Code 8 01
51 Other Provider Identifier State 8 NM
52 Other Provider Identifier Issuer 8 MOLINA
53 Other Provider Identifier 9 344503401
54 Other Provider Identifier Type Code 9 04
55 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.