Provider Demographics
NPI:1245277359
Name:KAPLIN, JAMIE B (CRNA)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:B
Last Name:KAPLIN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13300 TWILIGHT TRAIL PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-8248
Mailing Address - Country:US
Mailing Address - Phone:505-823-1331
Mailing Address - Fax:505-823-1331
Practice Address - Street 1:13300 TWILIGHT TRAIL PL NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-8248
Practice Address - Country:US
Practice Address - Phone:505-823-1331
Practice Address - Fax:505-823-1331
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005835367500000X
NMCRNA00814367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM63373025Medicaid
NM63373025Medicaid