Active NPI
Deneice M Brannan, CRNA
- Certified Registered Nurse Anesthetist
- Hot Springs, AR
National Provider Identifier
1093701153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C01274
- Practice address
- 1910 Malvern Ave
Hot Springs, AR 71901-7752 - Phone
- (501) 321-1000
- NPI assigned
- Sep 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | C01274 | AR | Primary |
Addresses
Primary practice location
1910 Malvern Ave
Hot Springs, AR 71901-7752
Mailing address
PO Box 22390
Hot Springs, AR 71903-2390
Phone (800) 235-1415
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00121109 | Other | RR MEDICARE GROUP CK6327 | |
| 5X134 | Other | AR | AR BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49723 | TX | MD | Pharmacist |
| C01274 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia and Intensive Care | Past | Accepting new patients | |
| Ouachita Regional Anesthesia PLLC | Past | Accepting new patients |
Locations
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
6560 Fannin St
Ste 600
Houston, TX 77030
Phone (713) 796-0500
Interoperability endpoints
- https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4
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
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Hot Springs, AR
- NPI 1982699153
-
- Anesthesiology Physician
- Texarkana, TX
- NPI 1366589590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1093701153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22390",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719032390",
"telephone_number": "800-235-1415",
"fax_number": "913-234-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 MALVERN AVE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719017752",
"telephone_number": "501-321-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNAN",
"first_name": "DENEICE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C01274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP CK6327",
"identifier": "P00121109",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS",
"identifier": "5X134",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.