MR. JAMES TIMOTHY STACKHOUSE CRNA
NPI 1730177494
Nurse Anesthetist, Certified Registered in Shiprock, NM

NPI Status: Active since October 07, 2005

Contact Information

US HWY 491 NORTH
SHIPROCK, NM
ZIP 87420
Phone: (505) 368-6401
Fax: (505) 368-6431

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  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered

About JAMES STACKHOUSE

This page provides the complete NPI Profile along with additional information for James Stackhouse, a provider established in Shiprock, New Mexico with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1730177494 assigned on October 2005. The practitioner's primary taxonomy code is 367500000X with license number CRNA0631 (AZ). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1730177494
Provider Name
MR. JAMES TIMOTHY STACKHOUSE CRNA
Gender
Male
Entity Type
Individual
Location Address
US HWY 491 NORTH SHIPROCK, NM 87420
Location Phone
(505) 368-6401
Location Fax
(505) 368-6431
Mailing Address
PO BOX 160 SHIPROCK, NM 87420
Mailing Phone
(505) 368-6401
Mailing Fax
(505) 368-6431
Is Sole Proprietor?
No
Enumeration Date
10-07-2005
Last Update Date
01-25-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
CRNA0631
License State
AZ
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

03435481 (NY)
2367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

R49230NM (AZ)
3367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

CRNA00781 (NM)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8HZJ92MEDICARE PIN (08) 
P40680MEDICARE UPIN (02) 
697766MEDICAID (05)AZ 
79836534MEDICAID (05)CO 
R5071MEDICAID (05)NM 
320059MEDICARE OSCAR/CERTIFICATION (06) 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730177494, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 2 + 7 + 1 + 4 + 4 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1730177494.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
US HWY 491 NORTH
SHIPROCK, NM 87420
Dentist (Oral and Maxillofacial Surgery)
US HWY 491 NORTH
SHIPROCK, NM 87420
Dentist
US HWY 491 NORTH
SHIPROCK, NM 87420
Dentist (Endodontics)
US HWY 491 NORTH
SHIPROCK, NM 87420
Anesthesiology
US HWY 491 NORTH
SHIPROCK, NM 87420
Dentist (Pediatric Dentistry)
US HWY 491 NORTH
SHIPROCK, NM 87420
Dentist
US HWY 491 NORTH
SHIPROCK, NM 87420
Social Worker
US HWY 491 NORTH
SHIPROCK, NM 87420
Anesthesiology
US HWY 491 NORTH
SHIPROCK, NM 87420
Nurse Practitioner (Family)
US HWY 491 NORTH
SHIPROCK, NM 87420
Nurse Practitioner (Family)
US HWY 491 NORTH
SHIPROCK, NM 87420
Dentist
US HWY 491 NORTH
SHIPROCK, NM 87420
Pediatrics (Adolescent Medicine)
US HWY 491 NORTH
SHIPROCK, NM 87420
Physical Medicine & Rehabilitation (Sports Medicine)
US HWY 491 NORTH
SHIPROCK, NM 87420
Emergency Medicine
US HWY 491 NORTH
SHIPROCK, NM 87420
Social Worker
US HWY 491 NORTH
SHIPROCK, NM 87420
Anesthesiology
US HWY 491 NORTH
SHIPROCK, NM 87420
Physician Assistant
US HWY 491 NORTH
SHIPROCK, NM 87420
Advanced Practice Midwife
US HWY 491 NORTH
SHIPROCK, NM 87420
Social Worker
US HWY 491 NORTH
SHIPROCK, NM 87420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730177494, enumerated as an "individual" on October 07, 2005.

The provider is located at US HWY 491 NORTH SHIPROCK, NM 87420 and the phone number is (505) 368-6401.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.