Individual provider Active NPI

Nicole Sweeney

  • Certified Registered Nurse Anesthetist
  • Arlington, TX
National Provider Identifier
1144648239
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
105244 Issued in PA
Practice address
2000 E Lamar Blvd Ste 400
Arlington, TX 76006-7353
Phone
(817) 583-7432
Fax
(682) 227-6609
NPI assigned
Apr 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 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 105244 PA Primary

Addresses

Primary practice location

2000 E Lamar Blvd Ste 400
Arlington, TX 76006-7353

Mailing address

2000 E Lamar Blvd Ste 400
Arlington, TX 76006-7353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141201002036 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375865439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KBS Anesthesia, Inc.Group PAC ID 1254719321, 56 clinicians

Practice addresses (Care Compare)

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 741-6600

79 Wagner Rd
Monaca, PA 15061-2337
Phone (724) 624-9901

Hospital & facility affiliations

  • Heritage Valley Sewickley Hospital, Sewickley, PA, CCN 390037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105244PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 19, 2014 Accepting new patients
KBS Anesthesia, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

79 Wagner Rd
Monaca, PA 15061
Phone (724) 624-9901

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1144648239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E LAMAR BLVD STE 400",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E LAMAR BLVD STE 400",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067353",
            "telephone_number": "817-583-7432",
            "fax_number": "682-227-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "105244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.