Active NPI
Debera W Moennich, CRNA
- Certified Registered Nurse Anesthetist
- Elyria, OH
National Provider Identifier
1164535159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 122349
- Practice address
- 860 E Broad St
Suite I
Elyria, OH 44035-6542 - Phone
- (440) 323-8515
- Fax
- (440) 323-7900
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 122349 | OH | Primary |
Addresses
Primary practice location
860 E Broad St
Suite I
Elyria, OH 44035-6542
Mailing address
139 Westchester Dr
Amherst, OH 44001-3428
Phone (440) 988-8918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2144709 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122349 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bedford Anesthesiologists and Pain Management | Past | Accepting new patients | |
| Associated Anesthesiologists of Toledo, Inc | Past | Accepting new patients | |
| Elyria Anesthesia Incorporated | Past | Accepting new patients | |
| Anesthesiology Consultants of Toledo, Inc | Past | Accepting new patients | |
| Crna of Blanchard Valley LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Ohio Surgical Anesthesia LLC | Past | Accepting new patients | |
| Anesthesia Associates of Lima Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Lima, OH
- NPI 1487662300
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1366482119
-
- Specialist
- Toledo, OH
- NPI 1871544312
-
- Pain Medicine (Anesthesiology) Physician
- Bedford, OH
- NPI 1275566978
-
- Certified Registered Nurse Anesthetist
- Findlay, OH
- NPI 1336196799
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Elyria, OH
- NPI 1710922463
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Anesthesiology Physician
- Sheffield Village, OH
- NPI 1588898548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1164535159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 WESTCHESTER DR",
"city": "AMHERST",
"state": "OH",
"postal_code": "440013428",
"telephone_number": "440-988-8918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 E BROAD ST",
"address_2": "SUITE I",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440356542",
"telephone_number": "440-323-8515",
"fax_number": "440-323-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOENNICH",
"first_name": "DEBERA",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "122349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2144709",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.