Active NPI
Wendy Jo Plum, CRNA
- Certified Registered Nurse Anesthetist
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP 2721072
- Practice address
- 3009 S John Redditt Dr # 168
Lufkin, TX 75904-5661 - Phone
- (808) 222-1712
- NPI assigned
- Mar 10, 2006
- Last updated
- Jan 9, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN243133 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP 2721072 | FL | Primary |
Addresses
Primary practice location
3009 S John Redditt Dr # 168
Lufkin, TX 75904-5661
Mailing address
3009 S John Redditt
#168
Lufkin, TX 75901
Phone (808) 222-1712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101120525 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, HI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1715 SE Tiffany Ave
Port St Lucie, FL 34952-7511
Phone (772) 335-7005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2721072 | FL | MD | Certified Registered Nurse Anesthetist |
| RN243133 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Anesthesia Group Inc | Current | Accepting new patients | |
| FMFL Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Lexington Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| North Texas Anesthesiology,PLLC | Past | Accepting new patients | |
| Beaumont Hospital Holdings Inc | Past | Accepting new patients | |
| Peace River Anesthesiology Associates PA | Past | Accepting new patients | |
| Medical Anesthesia and Pain Management Consultants, P.a. | Past | Accepting new patients | |
| Anesthesia Associates of York PA Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Blair County Anesthesia, P.C. | Past | Accepting new patients | |
| Hendrick Anesthesia Network | Past | Accepting new patients | |
| Jennifer Sassi PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
6820 International Center Blvd
Fort Myers, FL 33912
Phone (239) 210-0301
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793
1575 S Beretania St
Ste 201-202
Honolulu, HI 96826
Phone (808) 352-2081
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Port St Lucie, FL
- NPI 1215441134
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Honolulu, HI
- NPI 1548336183
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1871127134
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sun City Center, FL
- NPI 1073841656
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Specialist
- Port Arthur, TX
- NPI 1790701753
-
- Specialist
- Abilene, TX
- NPI 1851394993
-
- Specialist
- Denison, TX
- NPI 1003920828
-
- Anesthesiology Physician
- York, PA
- NPI 1205812260
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Altoona, PA
- NPI 1003864612
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1619305067
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1174591523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 S JOHN REDDITT",
"address_2": "#168",
"city": "LUFKIN",
"state": "TX",
"postal_code": "75901",
"telephone_number": "808-222-1712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 S JOHN REDDITT DR # 168",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759045661",
"telephone_number": "808-222-1712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUM",
"first_name": "WENDY",
"middle_name": "JO",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN243133",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP 2721072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101120525",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.