GARY LYLE SMITH CRNA
NPI 1063507077
Nurse Anesthetist, Certified Registered in Susanville, CA

Q: What is Gary Smith's NPI number?

The NPI number for Gary Smith is 1063507077. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Gary Smith's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2006

1800 SPRING RIDGE DR, SUSANVILLE, CA 96130(530) 252-2000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gary Lyle Smith Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY LYLE SMITH CRNA (NPI 1063507077) is an individual nurse anesthetist, certified registered in Susanville, California, licensed in California (2065) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063507077

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameGARY LYLE SMITHCredential: CRNA

Location Address1800 SPRING RIDGE DRSusanville, CA 96130-6100

Mailing Address1441 N 12th StPhoenix, AZ 85006-2837 · (602) 747-4577

Phone(530) 252-2000

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063507077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in CA · 2065

Definition

(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.

1800 SPRING RIDGE DR, Susanville, CA 96130

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIERRA ER DEPARTMENT PHYSICIANS MEDICAL GROUP INC.

Emergency Medicine