Active NPI
Laura Borders Owen, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
National Provider Identifier
1043249592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 89633
- Practice address
- 8800 N Tryon St
Charlotte, NC 28262-3300 - Phone
- (704) 863-5665
- Fax
- (704) 863-5848
- NPI assigned
- Jun 30, 2006
- 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 | 89633 | NC | Primary |
Addresses
Primary practice location
8800 N Tryon St
Charlotte, NC 28262-3300
Mailing address
4400 Golf Acres Drive Suite a
Charlotte, NC 28208-5906
Phone (704) 512-6428
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42275 | Other | ANNA LICENCE | |
| NAN706 | Medicaid | SC | |
| 089633 | Other | NC | RN LICIENCE |
| 8050667 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89633 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte Mecklenburg Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Carolinas Medical Center - University | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
Organizations & group practices 5
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
- Charlotte, NC
- NPI 1346649415
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1598156234
Nurse Anesthetist, Certified Registered
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
-
- 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": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507161600000",
"number": "1043249592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 GOLF ACRES DRIVE SUITE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282085906",
"telephone_number": "704-512-6428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8800 N TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623300",
"telephone_number": "704-863-5665",
"fax_number": "704-863-5848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "LAURA",
"middle_name": "BORDERS",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2017-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "89633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANNA LICENCE",
"identifier": "42275",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN706",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICIENCE",
"identifier": "089633",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8050667",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Erica Ovilma
- Oweida and Christian Orthopaedic & Sports Medicine,PA
- Oweida and Christian Orthopaedics & Sports Med,P.a.
- Jenna Marie Owen, FNP
- Kenneth D. Owen Jr., MD
- Scarlett Owen
- Erin Owenby, RBT
- Owens Carolina Orthotic & Prosthetic Network, Inc.
- Owens Enterprises of the Carolinas, Inc.
- Owens Physical Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.