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Nurse Anesthetist, Certified Registered
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NPI 1134926181
● Active Type 2 · Organization
Hayden Lake Anesthesia Pllc
Nurse Anesthetist, Certified Registered · Hayden, ID · NPI 1134926181
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Enumerated 2025 · 1 years on NPI
Hayden Lake Anesthesia Pllc is 1 of 575 nurse anesthetist, certified registered organizations in Idaho.
NPI age
1 years
Enumerated 2025-02-27
Primary specialty
Nurse Anesthetist, Certified Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shibley
Managing Partner
Last NPPES update
2026-02-04
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
NPI lifetime · 2025 → 2026
2025-02 Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
8552 N Government Way
Hayden, ID 838359280
📞 2086603604
Mailing address
Po Box 295
Hayden, ID 838350295
📞 2082096804
Authorized official
Kyle Thomas Shibley, CRNA
Managing Partner
📞 2082096804
Individual providers at this organization
2 individual providers on file at this primary practice address.
Scout Cai , DPT
Physical Therapist
NPI 1285442442
Brian Carroll
Nurse Anesthetist, Certified Registered
NPI 1417449810
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...
taxonomy 367500000X
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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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.
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Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.