Individual provider Active NPI

Lynda A Angelone, CRNA

  • Certified Registered Nurse Anesthetist
  • Austin, TX
National Provider Identifier
1013990175
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
70297 Issued in TX
Practice address
5656 West Bee Caves Road
Suite M-302
Austin, TX 78746-5236
Phone
(512) 697-3502
Fax
(512) 697-3501
NPI assigned
Nov 22, 2005
Last updated
Jan 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 70297 TX Primary

Addresses

Primary practice location

5656 West Bee Caves Road
Suite M-302
Austin, TX 78746-5236

Mailing address

1004 South Rock Street
Westlake Anesthesia Group, PA
Georgetown, TX 78626
Phone (512) 279-0348

Other identifiers 4

IdentifierTypeStateIssuer
166840201MedicaidTX
84187UOtherTXBC/BS
8Y1862OtherBLUE CROSS
166840203MedicaidTX

Other names 1

  • Lynda Catherine Whitehead Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000807 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022080670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70297TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group PLLC CurrentSince May 18, 2023 Accepting new patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 18, 2023 Accepting new patients
Easter Medical Management Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Easter Anesthesia Staffing Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

3801 N Lamar Blvd
Austin, TX 78756
Phone (512) 407-7000

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

5656 Bee Caves Rd
Ste M302
West Lake Hills, TX 78746
Phone (512) 327-0000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1013990175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 SOUTH ROCK STREET",
            "address_2": "WESTLAKE ANESTHESIA GROUP, PA",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "512-279-0348",
            "fax_number": "512-371-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 WEST BEE CAVES ROAD",
            "address_2": "SUITE M-302",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465236",
            "telephone_number": "512-697-3502",
            "fax_number": "512-697-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELONE",
        "first_name": "LYNDA",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "70297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166840201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "84187U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8Y1862",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166840203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDA",
            "last_name": "WHITEHEAD",
            "middle_name": "CATHERINE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.

Verify at the official NPI Registry.