Active NPI
Tamara S Minnix, CRNA
- Certified Registered Nurse Anesthetist
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 41769
- Practice address
- 1340 Hal Greer Blvd
Huntington, WV 25701-3800 - Phone
- (888) 245-5525
- NPI assigned
- Oct 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 41769 | WV | Primary |
Addresses
Primary practice location
1340 Hal Greer Blvd
Huntington, WV 25701-3800
Mailing address
PO Box 714960
Columbus, OH 43271-4960
Phone (888) 245-5525
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0068794000 | Medicaid | WV | |
| 74430216 | Medicaid | KY | |
| 0892851 | Medicaid | OH | |
| 001720975 | Other | WV | BCBS |
| 1067623 | Other | WV | WORKERS' COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2335 Chesterfield Ave
Suite 400
Charleston, WV 25304-1066
Phone (304) 417-1255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41769 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of West Virginia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cabell Huntington Hospital Inc | Current | Accepting new patients | |
| Cabell Huntington Hospital Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Oasis Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Charleston Surgical Hospital Healthcare Group, PLLC | Past | Accepting new patients | |
| Day Surgery Limited Liability | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
405 S 3rd St
Ironton, OH 45638
Phone (304) 417-1255
2335 Chesterfield Ave
Ste 400
Charleston, WV 25304
Phone (304) 417-1255
1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960
1201 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 523-1885
Organizations & group practices 6
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
- Ironton, OH
- NPI 1720470792
Nurse Anesthetist, Certified Registered, WV
-
- Anesthesiology Physician
- Huntington, WV
- NPI 1275576373
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1821448150
Nurse Anesthetist, Certified Registered, WV
-
- Home Health Agency
- Huntington, WV
- NPI 1669558904
-
- Surgery Physician
- Charleston, WV
- NPI 1285131144
-
- Ambulatory Surgical Clinic/Center
- Charleston, WV
- NPI 1730296997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244419200000",
"number": "1104907773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 714960",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432714960",
"telephone_number": "888-245-5525",
"fax_number": "717-653-8197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 HAL GREER BLVD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013800",
"telephone_number": "888-245-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNIX",
"first_name": "TAMARA",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2009-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "41769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0068794000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74430216",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0892851",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "001720975",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS' COMP",
"identifier": "1067623",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.