Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Thomas Tait, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1750863205

Jordan Thomas Tait, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Boise, Idaho. Qualified in 2018, 8 years ago. Practices with Anesthesia Associates of Boise, PA, a 182-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2018
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2222
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 59764 (ID)

Record details

NPI number1750863205
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 31, 2018
Last updated in NPPESMay 1, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Anesthesia Associates Of Boise, P.A. — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boise