Organization Active NPI

Covenant Anesthesia Management PLLC

  • Certified Registered Nurse Anesthetist
  • Coppell, TX
National Provider Identifier
1134084247
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
COVENANT ANESTHESIA MANAGEMENT PLLC
Practice address
149 W State Highway 121 Ste 105
Coppell, TX 75019-2933
Phone
(972) 833-7246
NPI assigned
Dec 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Authorized official

Name
Malia Stephenson, CRNANPI 1215207428
Title
President
Phone
(972) 533-0098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

149 W State Highway 121 Ste 105
Coppell, TX 75019-2933

Mailing address

1540 Keller Pkwy Ste 108-423
Keller, TX 76248-4601
Phone (972) 522-0098

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260314000155 TX Part B Supplier - Clinic/Group Practice 4183107469 Receives reassigned benefits from 4 practitioners
Practice locations: Carrollton, TX; Frisco, TX; Dallas, TX; Coppell, TX

National Provider Directory

National Provider Directory

Locations

731 Plaza Blvd
Coppell, TX 75019
Phone (469) 451-5700

149 W State Highway 121
Ste 105
Coppell, TX 75019
Phone (972) 833-7246

1540 Keller Pkwy
Ste 108423
Keller, TX 76248

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769817600000",
    "number": "1134084247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 KELLER PKWY STE 108-423",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762484601",
            "telephone_number": "972-522-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 W STATE HIGHWAY 121 STE 105",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192933",
            "telephone_number": "972-833-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT ANESTHESIA MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-20",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "MALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-533-0098",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.