Active NPI
Marguerita Rose Donovan, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 478
- Practice address
- 1901 Randolph Rd
Charlotte, NC 28207-1101 - Phone
- (704) 316-1594
- Fax
- (704) 316-9771
- NPI assigned
- Jun 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R40479 | NM | |
| Certified Registered Nurse Anesthetist | 367500000X | 478 | NC | Primary |
Addresses
Primary practice location
1901 Randolph Rd
Charlotte, NC 28207-1101
Mailing address
1901 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 316-1594
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15434729 | Medicaid | NM | |
| 202005158 | Other | NM | PHP MOO SALUD |
| 069825 | Medicaid | AZ |
Other names 1
- Ms. Rita R Donovan
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MDONOVAN80416@DIRECT.NOVANTHEALTH.ORG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 478 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Kernersville Outpatient Surgery LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Thomasville Medical Center LLC | Current | Accepting new patients | |
| Brunswick Community Hospital, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health Mint Hill Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Clemmons Outpatient Surgery, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Current | Accepting new patients | |
| Novant Health Rowan Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Presbyterian Sameday Surgery Center at Huntersville LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Rowan Medical Center, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Kernersville Outpatient Surgery LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Novant Health Ballantyne Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Presbyterian Sameday Surgery Center at Huntersville LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Matthews Medical Center LLC | Current | Accepting new patients | |
| Anesthesia Specialists of Albuquerque | Past | Accepting new patients |
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000
10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
Interoperability endpoints
- mdonovan80416@direct.novanthealth.org
Organizations & group practices 26
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.
-
- Certified Registered Nurse Anesthetist
- Bolivia, NC
- NPI 1669725198
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Specialist
- Winston-Salem, NC
- NPI 1003867516
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1760190607
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Clemmons, NC
- NPI 1528521887
-
- Ambulatory Surgical Clinic/Center
- Kernersville, NC
- NPI 1750892659
-
- Specialist
- Matthews, NC
- NPI 1184782419
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063910404
Nurse Anesthetist, Certified Registered
-
- Neurology Physician
- Salisbury, NC
- NPI 1508931544
Nurse Anesthetist, Certified Registered
-
- Specialist
- Thomasville, NC
- NPI 1033160205
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1215061049
-
- Ambulatory Surgical Clinic/Center
- Huntersville, NC
- NPI 1063641801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1073558011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071101",
"telephone_number": "704-316-1594",
"fax_number": "704-316-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071101",
"telephone_number": "704-316-1594",
"fax_number": "704-316-9771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "MARGUERITA",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "R40479",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15434729",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP MOO SALUD",
"identifier": "202005158",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069825",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MDONOVAN80416@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "1901 Randolph Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282071101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RITA",
"last_name": "DONOVAN",
"middle_name": "R",
"prefix": "MS.",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.