Individual provider Active NPI

Cynthia A. Carson, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Helena Island, SC
National Provider Identifier
1114996337
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1218 Issued in SC
Practice address
68 Avenue of Oaks
Saint Helena Island, SC 29920-3636
Phone
(843) 838-4456
Fax
(843) 838-4456
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1218 SC Primary

Addresses

Primary practice location

68 Avenue of Oaks
Saint Helena Island, SC 29920-3636

Mailing address

68 Avenue of Oaks
Saint Helena Island, SC 29920-3636
Phone (843) 838-4456

Other identifiers 1

IdentifierTypeStateIssuer
AN0637MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1218NCMDPhysical Therapy Assistant
1218SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients
Lighthouse Anesthesia LLC Past Accepting new patients
Oconee Medical Center Past Accepting new patients
Mobile Anesthesia, LLC Past Accepting new patients
Trident Anesthesia Group, LLC Past Accepting new patients
Coastal Anesthesia Medical Group, LLC Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1114996337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 AVENUE OF OAKS",
            "city": "SAINT HELENA ISLAND",
            "state": "SC",
            "postal_code": "299203636",
            "telephone_number": "843-838-4456",
            "fax_number": "843-838-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 AVENUE OF OAKS",
            "city": "SAINT HELENA ISLAND",
            "state": "SC",
            "postal_code": "299203636",
            "telephone_number": "843-838-4456",
            "fax_number": "843-838-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "CYNTHIA",
        "middle_name": "A.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "1218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0637",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.