Individual provider Active NPI

Amanda L Layne, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1174508907
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
726816 Issued in TX
Practice address
2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Phone
(713) 620-4000
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 666335 NY
Certified Registered Nurse Anesthetist 367500000X 726816 TX Primary

Addresses

Primary practice location

2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817

Mailing address

2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Phone (713) 620-4000

Other practice location 1

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 261-2000

Other practice location 2

133 Park St
Malone, NY 12953-1244
Phone (518) 481-3000

Other identifiers 1

IdentifierTypeStateIssuer
86471UOtherTXBLUE CROSS PROVIDER ID

Other names 1

  • Amanda L Allan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130507000690 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800836883 Reassigns benefits to 1 organization
I20140812002519 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800836883 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
666335NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Current Accepting new patients
Montefiore Medical Center CurrentSince Dec 8, 2020 Accepting new patients
Massachusetts Eye and Ear Associates, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Dec 8, 2020 Accepting new patients
Grant Anesthesia Services LTD Past Accepting new patients
Alice Hyde Medical Center Past Accepting new patients
American Anesthesia Partners, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300

111 E 210th St
Bronx, NY 10467

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.

Hospital & facility affiliations 2

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1174508907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-620-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "713-620-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Beekman St",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011438",
            "country_code": "US",
            "telephone_number": "518-261-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Park St",
            "address_purpose": "LOCATION",
            "city": "Malone",
            "state": "NY",
            "postal_code": "129531244",
            "country_code": "US",
            "telephone_number": "518-481-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "666335",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "726816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "86471U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ALLAN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.