Vicki Ranae Friddell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

553621 Issued in TX

Practice address

2600 N Highway 118
Alpine, TX 79830-2002

Phone

(432) 837-3447

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

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.

• Professional Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Alpine, TX
  • NPI 1821154501

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124184866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798311230",
            "telephone_number": "432-837-7160",
            "fax_number": "432-837-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N HIGHWAY 118",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798302002",
            "telephone_number": "432-837-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDDELL",
        "first_name": "VICKI",
        "middle_name": "RANAE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "553621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BCBS OF TEXAS",
            "identifier": "89966C",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Len Eoff, D.D.S.
• Ekta Escovar
• Raphael Moreno Escovar, MD
• Robert A. Fast, RPH
• William Jay Fielder, DDS
• Glenn Short'S Applied Alternatives, LLC
• Katherine Powers Gonzalez, AG-ACNP, FNP
• Bibiana Gutierrez, PH.D
• Shanna Hickle, L.AC.
• Highland Drug Inc

• All providers in Alpine, TX
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.