Active NPI
Dreamwise Anesthesia Associates PLLC
- Certified Registered Nurse Anesthetist
- Lufkin, TX
National Provider Identifier
1073551453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- DREAMWISE ANESTHESIA ASSOCIATES PLLC
- Practice address
- 1201 W Frank Ave
Lufkin, TX 75904-3357 - Phone
- (936) 639-3036
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Johnson, CRNA
- Title
- Manager
- Phone
- (936) 639-3036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1201 W Frank Ave
Lufkin, TX 75904-3357
Mailing address
PO Box 1447
Lufkin, TX 75902-1447
Phone (936) 639-3036
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155375201 | Medicaid | TX | |
| 00C84P | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Corpus Christi, TX
- NPI 1134187313
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248825600000",
"number": "1073551453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1447",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759021447",
"telephone_number": "936-639-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W FRANK AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043357",
"telephone_number": "936-639-3036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAMWISE ANESTHESIA ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2009-07-29",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "936-639-3036",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155375201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00C84P",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
- Edward Domingue, M.D.
- Dina Dominquez
- Down Home Care Services, LLC
- Dr Royce Read, MD and Associates
- Dr. Warren S. Guy, D.D.S., PH. D, PA (Pediatric Dentistry of East Texas)
- Dreamworks Anesthesia Associates PLLC
- Richard John Drummer Jr., PT
- Cody Bryan Du Vall, MD
- Mary C Dubose, CRNA
- Aaron Dudley, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.