Active NPI
Edith Nottage, CRNA
- Certified Registered Nurse Anesthetist
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN310003
- Practice address
- 8900 Van Wyck Expy
Jamaica, NY 11418-2897 - Phone
- (718) 206-6290
- NPI assigned
- Feb 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | RN310003 | GA | Primary |
Addresses
Primary practice location
8900 Van Wyck Expy
Jamaica, NY 11418-2897
Mailing address
8900 Van Wyck Expy
Jamaica, NY 11418-2897
Phone (718) 206-6290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, GA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN310003 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Ambulatory Anesthesia LLC | Single Specialty | Current | Accepting new patients |
| Gi Anesthesia of Georgia LLC | Single Specialty | Current | Accepting new patients |
| Jamaica Anesthesiologist, PC | Single Specialty | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
Organizations & group practices 3
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
- Savannah, GA
- NPI 1750753786
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1083755128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 VAN WYCK EXPY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114182897",
"telephone_number": "718-206-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 VAN WYCK EXPY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114182897",
"telephone_number": "718-206-6290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTTAGE",
"first_name": "EDITH",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-10",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN310003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.