Active NPI
Dana Erickson, CRNA
- Certified Registered Nurse Anesthetist
- Elizabethtown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3010328
- Practice address
- 639 N Mulberry St
Heartland Anesthesia Consultants, P.S.C.
Elizabethtown, KY 42701-1931 - Phone
- (270) 737-4600
- Fax
- (270) 737-1722
- NPI assigned
- Apr 19, 2016
- 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 | 3010328 | KY | Primary |
Addresses
Primary practice location
639 N Mulberry St
Heartland Anesthesia Consultants, P.S.C.
Elizabethtown, KY 42701-1931
Mailing address
639 N Mulberry St
Heartland Anesthesia Consultants, P.S.C.
Elizabethtown, KY 42701-1931
Phone (270) 737-4600
Other names 1
- Miss Dana Kristin Daugherty
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4150 Deputy Bill Cantrell Memorial Rd
Suite 200
Cumming, GA 30040-3005
Phone (404) 446-0600
4275 Johns Creek Pkwy
Suite a
Suwanee, GA 30024-9117
Phone (678) 475-1606
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3010328 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Coastal Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Advanced Urology Anesthesia, LLC | Current | Accepting new patients | |
| Advanced Urology Institute of Georgia | Current | Accepting new patients | |
| Advanced Urology Institute of Georgia, PC | Current | Accepting new patients | |
| Gi Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gi North Anesthesia, LLC | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
3200 Downwood Cir NW
Ste 200
Atlanta, GA 30327
Phone (404) 351-1990
4150 Dep Bill Cantrell Memorial Rd
Ste 200
Cumming, GA 30040
Phone (404) 446-0600
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097
501 Crownpointe Way
Ste 100
Lawrenceville, GA 30046
Phone 6783448900101
1371 Church Street Ext NE
#100
Marietta, GA 30060
11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156
1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421
1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876
4275 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 475-1606
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACIFBA/Endpoint/ACIFBA
- https://662acb6b-2e6a-4a18-a64c-d0df200218d5.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cumming, GA
- NPI 1750877676
-
- Specialist
- Snellville, GA
- NPI 1215365242
-
- Urology Physician
- Snellville, GA
- NPI 1073896510
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1750753786
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Urology Physician
- Dallas, GA
- NPI 1811846348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1013361740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 N MULBERRY ST",
"address_2": "HEARTLAND ANESTHESIA CONSULTANTS, P.S.C.",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427011931",
"telephone_number": "270-737-4600",
"fax_number": "270-737-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 N MULBERRY ST",
"address_2": "HEARTLAND ANESTHESIA CONSULTANTS, P.S.C.",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427011931",
"telephone_number": "270-737-4600",
"fax_number": "270-737-1722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "DANA",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3010328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "DAUGHERTY",
"middle_name": "KRISTIN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.