Mr. James Timothy Stackhouse

CRNA | Nurse Anesthetist

Us Hwy 491 North, Shiprock
  New Mexico, 87420
505-368-6401
May or may not accept Medicare Nurse Anesthetist in Shiprock, New Mexico.
Mr. James Timothy Stackhouse is a Shiprock, New Mexico based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mr. James Timothy Stackhouse is CRNA0631 for Anesthesia Administration in Arizona. his current practice location is Us Hwy 491 North, Shiprock. Patients can reach him at 505-368-6401 or can fax him at 505-368-6431. Mr. James Timothy Stackhouse is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1730177494.
Mr. James Timothy Stackhouse is a certified 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 management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.

Complete Profile:
Mr. James Timothy Stackhouse speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Anesthesia Administration
Credentials: CRNA
Gender:Male
Practice Address:Us Hwy 491 North, Shiprock,
New Mexico, 87420
Phone:505-368-6401
Fax:505-368-6431
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1730177494
NPI Enumeration Date: 07 Oct, 2005
NPI Last Update On: 25 Jan, 2011

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. James Timothy Stackhouse are as mentioned below.
License NumberSpecializationStateStatus
CRNA0631Anesthesia Administration ArizonaPrimary
03435481Anesthesia Administration New YorkSecondary
R49230NMAnesthesia Administration ArizonaSecondary
CRNA00781Anesthesia Administration New MexicoSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. James Timothy Stackhouse such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
697766MedicaidArizona
79836534MedicaidColorado
R5071MedicaidNew Mexico
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 160,
Shiprock, New Mexico
Zip: 87420-0160
Phone Number: 505-368-6401
Fax Number: 505-368-6431
Patients can reach Mr. James Timothy Stackhouse at Us Hwy 491 North, Shiprock, New Mexico or can call to book an appointment on 505-368-6401.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.