Organization Active NPI

Rosedale Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1053713099
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
076404 Issued in TX
Legal business name
ROSEDALE ANESTHESIA SERVICES
Practice address
1106 Alston Ave Ste 200
Fort Worth, TX 76104-4644
Phone
(817) 698-9933
NPI assigned
Sep 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Amy Michelle Robbins, CRNA
Title
Crna, Manager
Phone
(817) 675-2292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 076404 TX Primary

Addresses

Primary practice location

1106 Alston Ave Ste 200
Fort Worth, TX 76104-4644

Mailing address

7321 La Cantera Dr
Fort Worth, TX 76108-8341
Phone (817) 675-2292

National Provider Directory

National Provider Directory

Locations

1106 Alston Ave
Ste 200
Fort Worth, TX 76104
Phone (817) 698-8346

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1053713099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 LA CANTERA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761088341",
            "telephone_number": "817-675-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 ALSTON AVE STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044644",
            "telephone_number": "817-698-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEDALE ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CRNA, MANAGER",
        "authorized_official_telephone_number": "817-675-2292",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "076404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.