Individual provider Active NPI

Clinton Collins York, CRNA

  • Certified Registered Nurse Anesthetist
  • Harlingen, TX
National Provider Identifier
1134541527
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
755594 Issued in TX
Practice address
2101 Pease St
Harlingen, TX 78550-8307
Phone
(956) 389-1100
Fax
(956) 389-1800
NPI assigned
Jan 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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 755594 TX Primary

Addresses

Primary practice location

2101 Pease St
Harlingen, TX 78550-8307

Mailing address

1702 N Ed Carey Dr
Harlingen, TX 78550-8202
Phone (956) 423-4589

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140326001140 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800027384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endo Sedation LLCGroup PAC ID 4789845363, 289 clinicians

Practice addresses (Care Compare)

1001 Surrey LN
Flower Mound, TX 75022-4234
Phone (817) 337-3671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
755594TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 16, 2020 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 16, 2020 Accepting new patients
Harlingen Anesthesia Associates Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

950 N 14th St
Ste 100
Beaumont, TX 77702
Phone (409) 833-5555

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

3601 4th St
#1B350K
Lubbock, TX 79430
Phone (806) 743-2981

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

1015 W Medical Center Blvd
Ste 1200
Webster, TX 77598
Phone (281) 554-3494

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.

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1134541527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508202",
            "telephone_number": "956-423-4589",
            "fax_number": "956-423-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PEASE ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508307",
            "telephone_number": "956-389-1100",
            "fax_number": "956-389-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "CLINTON",
        "middle_name": "COLLINS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "755594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.

Verify at the official NPI Registry.