Active NPI
Cheryl Speight Mastroianni, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
National Provider Identifier
1033240221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 172639
- Practice address
- 10628 Park Rd
Anesthesia Department
Charlotte, NC 28210-8407 - Phone
- (704) 667-1000
- NPI assigned
- Mar 8, 2007
- 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 | 172639 | NC | Primary |
Addresses
Primary practice location
10628 Park Rd
Anesthesia Department
Charlotte, NC 28210-8407
Mailing address
10628 Park Rd
Anesthesia Department
Charlotte, NC 28210-8407
Phone (704) 667-1971
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8052844 | Medicaid | NC | |
| NAN756 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172639 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center - University | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
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
- Charlotte, NC
- NPI 1063586980
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1033240221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10628 PARK RD",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108407",
"telephone_number": "704-667-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10628 PARK RD",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108407",
"telephone_number": "704-667-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTROIANNI",
"first_name": "CHERYL",
"middle_name": "SPEIGHT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "172639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052844",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN756",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.