NPI age
1 years
Enumerated 2024-08-13
● Active Type 2 · Organization
Blue Lakes Anesthesia
Blue Lakes Anesthesia is 1 of 575 nurse anesthetist, certified registered organizations in Idaho.
Primary specialty
Nurse Anesthetist, Certified Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hollist
Managing Member
Last NPPES update
2024-08-21
Source: monthly bulk 2026-05
How this organization compares
Across 575 active nurse anesthetist, certified registered providers in Idaho.
NPI age
1 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-08Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
2092 Dawson Dr
Twin Falls, ID 833013195
Mailing address
3849a N 3700 E
Hansen, ID 833345039
Authorized official
Thad Hollist, CRNA
Managing Member
📞 2085200035
Specialties
-
Nurse Anesthetist, Certified Registered Primary(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...
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.