Active NPI
Catina Anderson, CRNA
- Certified Registered Nurse Anesthetist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C003156
- Practice address
- 2 Saint Vincent Cir
Little Rock, AR 72205-5423 - Phone
- (501) 664-4532
- Fax
- (501) 663-4335
- NPI assigned
- May 4, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Greenville, MS
- NPI 1447818026
MS, Nurse Anesthetist, Certified Registered
-
- Family Nurse Practitioner
- Greenville, MS
- NPI 1598086639
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Arkansas College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Perioperative Services of Mississippi, LLC
Practice addresses (Care Compare)
1225 N State St
Ms Baptist Medical Center
Jackson, MS 39202-2064
Phone (601) 317-2802
Hospital & facility affiliations
- Mississippi Baptist Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170925000762 | MS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3375838097 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 858572 | MS | MD | Registered Nurse |
| C003156 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perioperative Services of Mississippi, LLC | Current | Accepting new patients | |
| Delta Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Delta Medical Group | Current | Accepting new patients | |
| Jackson Anesthesia Associates PA | Current | Accepting new patients | |
| Delta Physician Practices | Past | Accepting new patients |
Locations
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
1970 Hospital Dr
Clarksdale, MS 38614
Phone (662) 624-3185
1053 River Oaks Dr
#C
Flowood, MS 39232
Phone (601) 969-1430
1693 Fairgrounds Rd
Greenville, MS 38703
Phone (662) 378-3783
1400 E Union St
Greenville, MS 38703
Phone (601) 427-0422
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 858572 | MS | |
| Certified Registered Nurse Anesthetist | 367500000X | C003156 | AR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2 Saint Vincent Cir
Little Rock, AR 72205-5423
Mailing address
6119 Midtown Ave
Suite 201
Little Rock, AR 72205-5313
Phone (501) 664-4532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2016.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1154776573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6119 MIDTOWN AVE",
"address_2": "SUITE 201",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055313",
"telephone_number": "501-664-4532",
"fax_number": "501-663-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SAINT VINCENT CIR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055423",
"telephone_number": "501-664-4532",
"fax_number": "501-663-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CATINA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "858572",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C003156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.