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

Mr. James Timothy Stackhouse, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1730177494

Mr. James Timothy Stackhouse, CRNA is a Certified Registered Nurse Anesthetist in Shiprock, New Mexico. Licensed in Arizona, New Mexico and New York. Registered with an NPI since 2005.

Licensed in
AZ, NM, NY
In the registry since
2005
Specialties on file
4
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

US Hwy 491 N
Shiprock, NM 87420
Phone: (505) 368-6401
Fax: (505) 368-6431
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CRNA0631 (AZ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 03435481 (NY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence R49230NM (AZ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence CRNA00781 (NM)

Record details

NPI number1730177494
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 7, 2005
Last updated in NPPESJanuary 25, 2011
Mailing addressPo Box 160, Shiprock, NM 87420-0160

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