Active NPI
Sydney H Robertson, CRNA
- Certified Registered Nurse Anesthetist
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-155866
- Practice address
- 2105 E South Blvd
Montgomery, AL 36116-2409 - Phone
- (770) 643-5619
- NPI assigned
- Mar 31, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-155866 | AL | |
| Certified Registered Nurse Anesthetist | 367500000X | 1-155866 | AL | Primary |
Addresses
Primary practice location
2105 E South Blvd
Montgomery, AL 36116-2409
Mailing address
101 Graylynn Dr
Prattville, AL 36066-5125
Phone (334) 799-9574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 286-3579
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Montgomery PC | Single Specialty | Current | Accepting new patients |
| Montgomery Anesthesia, LLC | Single Specialty | Current | Accepting new patients |
Locations
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
2752 Zelda Rd
Montgomery, AL 36106
Phone (334) 270-9677
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
25B Hanover Rd
Ste 250
Florham Park, NJ 07932
Organizations & group practices 2
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
- Montgomery, AL
- NPI 1780636233
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Montgomery, AL
- NPI 1487177739
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1114505179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GRAYLYNN DR",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360665125",
"telephone_number": "334-799-9574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 E SOUTH BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361162409",
"telephone_number": "770-643-5619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "SYDNEY",
"middle_name": "H",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2021-11-23",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-155866",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-155866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.