P Praxis·MD
● Active Type 1 · Individual

Cody Lamar Oliverson, CRNA

Nurse Anesthetist, Certified Registered·Idaho Falls, ID· NPI 1932753878 · Enumerated 2019 · 6 years on NPI
Oliverson is 1 of 60 nurse anesthetist, certified registered providers in Idaho Falls and 1 of 575 in Idaho.
NPI age
6 years
Enumerated 2019-07-29
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-09-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 575 active nurse anesthetist, certified registered providers in Idaho.

NPI age
6 years
↓ 9 yr below median (15 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-07Enumerated in NPPES
2019 2026

Where they practice

Practice location
3100 Channing Way
Idaho Falls, ID 834047533
📞 2085296111
Mailing address
Po Box 94289, MS 631130
Seattle, WA 98124
📞 8664870277fax 7707016674

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...
    ID license #62583 taxonomy 367500000X
  • Registered Nurse
    Definition to come...
    ID license #48308 taxonomy 163WC0200X

Practice context

Part of a multi-provider practice. 240 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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