Active NPI
Susan R. Spence, CRNA
- Certified Registered Nurse Anesthetist
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 623720
- Practice address
- 2000 E Lamar Blvd
Suite 400
Arlington, TX 76006-7346 - Phone
- (682) 227-6834
- Fax
- (682) 227-6864
- NPI assigned
- Feb 25, 2006
- Last updated
- Jan 6, 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 | 623720 | TX | Primary |
Addresses
Primary practice location
2000 E Lamar Blvd
Suite 400
Arlington, TX 76006-7346
Mailing address
424 Amberwood Cir
Tyler, TX 75701-7016
Phone (318) 572-5292
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86211U | Other | TX | BCBS |
| 181746201 | Medicaid | TX | |
| 750818167015 | Other | TX | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 623720 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Medical Foundation | Current | Accepting new patients | |
| McAllen Anesthesia Consultants, PA | Current | Accepting new patients | |
| McAllen Anesthesia Consultants, PA | Current | Accepting new patients | |
| Parish Anesthesia of Monroe, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Clinical Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300
Organizations & group practices 8
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.
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- Certified Registered Nurse Anesthetist
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- NPI 1518265966
-
- Anesthesiology Physician
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- NPI 1952311441
-
- Internal Medicine Physician
- Edinburg, TX
- NPI 1467633867
-
- Certified Registered Nurse Anesthetist
- Grapevine, TX
- NPI 1952026163
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Metairie, LA
- NPI 1164474383
Nurse Anesthetist, Certified Registered
-
dba Willis Knighton Anesthesia Services
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1033185467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 AMBERWOOD CIR",
"city": "TYLER",
"state": "TX",
"postal_code": "757017016",
"telephone_number": "318-572-5292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E LAMAR BLVD",
"address_2": "SUITE 400",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760067346",
"telephone_number": "682-227-6834",
"fax_number": "682-227-6864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "SUSAN",
"middle_name": "R.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-25",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "623720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86211U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181746201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "750818167015",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.