1. Home
  2. Directory
  3. Idaho
  4. Twin Falls
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

BLUE LAKES ANESTHESIA
NPI 1073344651
Nurse Anesthetist, Certified Registered in Twin Falls, ID

Active since August 13, 2024
2092 DAWSON DR, TWIN FALLS, ID 83301(208) 734-7362 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2024, Aug 13, 2024 (2 updates tracked since 2024).

About Blue Lakes Anesthesia NPPES

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

BLUE LAKES ANESTHESIA (NPI 1073344651) is a healthcare organization registered as a nurse anesthetist, certified registered in Twin Falls, Idaho and active in the NPI registry since August 2024. The organization lists Thad Hollist, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1073344651
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameBLUE LAKES ANESTHESIA
Location Address2092 DAWSON DRTwin Falls, ID 83301-3195
Mailing Address3849a N 3700 EHansen, ID 83334-5039 · (208) 734-7362 · Fax (208) 733-9463
Phone(208) 734-7362
Organization SubpartNo
Authorized OfficialThad HollistManaging Member · (208) 520-0035
Enumeration DateAugust 13, 2024
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1073344651 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
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.
2092 DAWSON DR, Twin Falls, ID 83301
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

PARAMOUNT SURGICAL SERVICES LLC
Clinic/Center (Ambulatory Surgical)
2092 DAWSON DR
TWIN FALLS, ID 83301
Twin Falls County (208) 933-4485

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Lakes Anesthesia's NPI number?

The NPI number for Blue Lakes Anesthesia is 1073344651. It was assigned to this organization in the NPPES registry on August 13, 2024.

Where is Blue Lakes Anesthesia located?

Blue Lakes Anesthesia is located at 2092 Dawson Dr, Twin Falls, ID 83301. The listed phone number is (208) 734-7362.

What is Blue Lakes Anesthesia's specialty?

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

When was this NPI record last updated?

The NPPES record for Blue Lakes Anesthesia was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.