Active NPI
Ann R Larson, CRNA
- Certified Registered Nurse Anesthetist
- Springfield, IL
National Provider Identifier
1013249879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209008036
- Practice address
- 701 N 1St St
Anesthesia Department
Springfield, IL 62781-0001 - Phone
- (217) 788-3754
- Fax
- (217) 788-7071
- NPI assigned
- Feb 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209008036 | IL | Primary |
Addresses
Primary practice location
701 N 1St St
Anesthesia Department
Springfield, IL 62781-0001
Mailing address
701 N 1St St
Anesthesia Department
Springfield, IL 62781-0001
Phone (217) 788-3754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082677 | Other | IL | CCNA CERTIFICTION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylorville Memorial Hospital | Current | Accepting new patients | |
| Abraham Lincoln Memorial Hospital | Current | Accepting new patients |
Locations
200 Stahlhut Dr
Lincoln, IL 62656
Phone (217) 605-5611
201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/stvince-659560ec
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Lincoln, IL
- NPI 1154329753
-
- Critical Access Hospital
- Taylorville, IL
- NPI 1144292020
-
- Certified Registered Nurse Anesthetist
- Lincoln, IL
- NPI 1558586180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1013249879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N 1ST ST",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627810001",
"telephone_number": "217-788-3754",
"fax_number": "217-788-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 1ST ST",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627810001",
"telephone_number": "217-788-3754",
"fax_number": "217-788-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "ANN",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-04",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209008036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCNA CERTIFICTION",
"identifier": "082677",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.