NPI Code Details Logo

NPI 1376884163

NPI 1376884163 : JAYME H. THORPE CRNA : BLUE SPRINGS, MO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376884163
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JAYME H. THORPE CRNA
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/05/2013
-----------------------------------------------------
    Last Update Date     |    11/21/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    201 NW R D MIZE RD 
-----------------------------------------------------
    City                 |    BLUE SPRINGS
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    64014-2513
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    816-228-5900
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1201 WAKARUSA DR STE A3 
-----------------------------------------------------
    City                 |    LAWRENCE
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    66049-3889
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    785-856-6170
-----------------------------------------------------
    Fax                  |    785-856-6171
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    367500000X
-----------------------------------------------------
    Taxonomy Name        |    Certified Registered Nurse Anesthetist
-----------------------------------------------------
    License Number       |    761346
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    367500000X
-----------------------------------------------------
    Taxonomy Name        |    Certified Registered Nurse Anesthetist
-----------------------------------------------------
    License Number       |    105641
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.