Individual provider Active NPI

Ann Hoagland Durham, CRNA ARNP

  • Certified Registered Nurse Anesthetist
  • Greensburg, KY
National Provider Identifier
1093889081
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
662A Issued in KY
Practice address
1489 Tucker Rd
Greensburg, KY 42743-9284
Phone
(270) 734-5585
Fax
(270) 932-4157
NPI assigned
Nov 20, 2006
Last updated
Sep 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 662A KY Primary
Certified Registered Nurse Anesthetist 367500000X 04296 OH
Registered Nurse 163W00000X 1035636 KY
Registered Nurse 163W00000X 194268 OH

Addresses

Primary practice location

1489 Tucker Rd
Greensburg, KY 42743-9284

Mailing address

PO Box 162
1489 Tucker Rd.
Greensburg, KY 42743-0162
Phone (270) 734-5585

Other identifiers 1

IdentifierTypeStateIssuer
74662008MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000060 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153312566 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1035636KYMDRegistered Nurse
194268OHMDRegistered Nurse
34268KYMDObstetrics & Gynecology Physician
662AKYMDCertified Registered Nurse Anesthetist
04296OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince Nov 30, 2021 Accepting new patients
TRH Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
T J Samson Community Hospital Nurse Anesthetist, Certified Registered CurrentSince May 10, 2021 Accepting new patients
Jane Todd Crawford Memorial Hospital Inc. Past Accepting new patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients
Norton Anesthesia Services Nurse Anesthetist, Certified Registered Past Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. Past Accepting new patients
Jane Todd Hospital Radiological Associates,LLC Past Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
Central Kentucky Anesthesia PSC Past Accepting new patients
Anesthesia Care Enterprises, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4444

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1093889081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "address_2": "1489 TUCKER RD.",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427430162",
            "telephone_number": "270-734-5585",
            "fax_number": "270-932-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 TUCKER RD",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "427439284",
            "telephone_number": "270-734-5585",
            "fax_number": "270-932-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "ANN",
        "middle_name": "HOAGLAND",
        "name_prefix": "Ms.",
        "credential": "CRNA ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "662A",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "04296",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1035636",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "194268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74662008",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.

Verify at the official NPI Registry.