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

Nicolette Whiteside

Individual provider Critical Care Medicine Registered Nurse · NPI 1700563681

Nicolette Whiteside is a Certified Registered Nurse Anesthetist (CRNA) in Phoenix, Arizona. Qualified in 2023, 3 years ago. Practices with Summit Anesthesia Services PLLC, a 53-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2000 W Bethany Home Rd
Phoenix, AZ 85015-2443
Phone: (602) 923-5668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CRNA298070 (AZ)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN199765 (AZ)

Record details

NPI number1700563681
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 3, 2023
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023
Mailing addressPo Box 11475, Chandler, AZ 85248-0008

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Summit Anesthesia Services Pllc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Phoenix