ESTES VALLEY ANESTHESIA LLC NPI 1679865372

NPI Information

  • NPI: 1679865372
  • Provider Name: ESTES VALLEY ANESTHESIA LLC
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Organization
  • Address: 850 NORTH LN
    ESTES PARK, CO
    ZIP 80517
  • Phone: (970) 443-8855

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NPI Details

ESTES VALLEY ANESTHESIA LLC is a nurse anesthetist certified registered in Estes Park, CO. 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. ESTES VALLEY ANESTHESIA LLC NPI is 1679865372. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

850 NORTH LN
ESTES PARK, CO
ZIP 80517-629
Phone: (970) 443-8855

The provider's authorized official is Jason Goodwin .
The authorized official title is Owner and has the following contact phone number (970) 443-8855.

The enumeration date for this NPI number is 5/12/2011 and was last updated on 5/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1367500000XNurse Anesthetist, Certified RegisteredCRA-2933COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C188438OTHERCOLORADOMEDICARE ID FOR JASON GOODWIN
217228042MEDICAIDCOLORADO
352909361MEDICAIDCOLORADO
4C802029OTHERCOLORADOMEDICARE ID FOR MARY BOLGEO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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