Rodney D Mann, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

870962 Issued in NV

Practice address

910 Wallace Ave
Leitchfield, KY 42754-2414

Phone

(270) 259-9512

NPI assigned

Jan 7, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, NV, OR3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians

Digestive Health AssociatesGroup PAC ID 0547247082, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/

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.

• Anesthesia Associates Northwest LLC

  • Anesthesiology Physician
  • Milwaukie, OR
  • NPI 1548281751
  Medicare reassignment Care Compare group NPD
• Digestive Health Associates

  • Gastroenterology Physician
  • Reno, NV
  • NPI 1689775595
  Medicare reassignment Care Compare group NPD
• Amin, Dunckelmeyer and Luu PLLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1093410045
  Medicare reassignment NPD
• Carson Tahoe Physician Hospital Organization, LLC

  • Anesthesiology Physician
  • Carson City, NV
  • NPI 1063169829

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Coquille Valley Hospital District

  • Critical Access Hospital
  • Coquille, OR
  • NPI 1730223967
  Medicare reassignment NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered, OK

  Medicare reassignment NPD
• McCurtain Memorial Medical Management, Inc.

  • Rural Acute Care Hospital
  • Idabel, OK
  • NPI 1629020177

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Red Rock Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1235660002
  Medicare reassignment NPD
• Anesthesia of Enid LLC

  • Anesthesiology Physician
  • Enid, OK
  • NPI 1235298241
  NPD
• Coquille Valley Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Coquille, OR
  • NPI 1164557179
  NPD
• McCurtain Memorial Medical Management, Inc.

  • Certified Registered Nurse Anesthetist
  • Idabel, OK
  • NPI 1184838203

  Nurse Anesthetist, Certified Registered

  NPD
• McCurtain Memorial Medical Management, Inc.

  • Surgery Physician
  • Idabel, OK
  • NPI 1356506109
  NPD

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1053596247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423201553",
            "telephone_number": "270-274-0480",
            "fax_number": "270-274-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WALLACE AVE",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427542414",
            "telephone_number": "270-259-9512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7160 Rafael Rivera Way Ste 210",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891135395",
            "country_code": "US",
            "telephone_number": "702-878-0070",
            "fax_number": "702-805-0307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "RODNEY",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3005524",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "870962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100254860",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisville Optometric Centers III PSC
• Louisville Optometric Centers, III PSC
• Laura Lucas
• Debra S Lusk, APRN
• John Anthony Lyons, CRNA
• Mantooth Physical Therapy, LLC
• Mary Vivian Mantooth, PT
• Veronica Sue Masden
• Jamie Mathis, RBT
• Amy Nicole Mattingly

• Certified Registered Nurse Anesthetist in Leitchfield, KY
• Providers in Leitchfield, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.