Active NPI
Emily Megan Reynoso
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1149010
- Practice address
- 1400 8TH Ave
Fort Worth, TX 76104-4110 - Phone
- (817) 926-2544
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 147543 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 1149010 | TX | Primary |
Addresses
Primary practice location
1400 8TH Ave
Fort Worth, TX 76104-4110
Mailing address
1724 Rock View CT
Fort Worth, TX 76112-3712
Phone (254) 652-8411
Other names 1
- Emily Megan Alexander
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240626000205 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5395289821 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544
621 N Hall St
Dallas, TX 75226-1339
Phone (214) 820-0670
900 8TH Ave
Fort Worth, TX 76104-3902
Phone (817) 336-2100
Hospital & facility affiliations
- Medical City Fort Worth
- Baylor Scott and White All Saints Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147543 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia, PA | Anesthesiology | Current | Accepting new patients |
| Trinity Medical Associates, PLLC. | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia III PA | Anesthesiology | Current | Accepting new patients |
| Minerva Labs LLC | Past | Accepting new patients |
Locations
3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400
621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600
7115 Greenville Ave
Dallas, TX 75231
Phone (214) 369-7115
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600
1203 S White Chapel Blvd
Ste 150
Southlake, TX 76092
Phone (817) 333-9898
2815 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 431-3200
Interoperability endpoints
- ereynoso1104131@direct.sw.org
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1356968952
Anesthesiology, TX
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1932611654
Anesthesiology, TX
-
- Clinical Medical Laboratory
- Southlake, TX
- NPI 1053112938
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1659323772
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1043080138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 ROCK VIEW CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761123712",
"telephone_number": "254-652-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 8TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044110",
"telephone_number": "817-926-2544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOSO",
"first_name": "EMILY",
"middle_name": "MEGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "147543",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1149010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "ALEXANDER",
"middle_name": "MEGAN",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.