Individual provider Active NPI

Eileen Harper, CRNA

  • Certified Registered Nurse Anesthetist
  • Rocky Mount, VA
National Provider Identifier
1174843015
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024170781 Issued in VA
Practice address
180 Floyd Ave
Rocky Mount, VA 24151
Phone
(540) 489-6353
Fax
(540) 484-8552
NPI assigned
Jun 2, 2010
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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 0024170781 VA Primary

Addresses

Primary practice location

180 Floyd Ave
Rocky Mount, VA 24151

Mailing address

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 489-6353

Other practice location 1

1400 W Park St
Urbana, IL 61801-2334
Phone (770) 643-5619

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130529000695 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911192026 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Carilion Professional Services LLCGroup PAC ID 2163323999, 86 clinicians

Practice addresses (Care Compare)

142 S Main St
Danville, VA 24541-2922
Phone (434) 799-3839

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 489-6353

438 W Main St
Salem, VA 24153-3610
Phone 54037852764606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024170781VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
Carilion Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 6, 2017 Accepting new patients
Roanoke Valley Center for Sight LLC CurrentSince Aug 1, 2020 Accepting new patients
Roanoke Valley Center for Sight, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients
American Anesthesiology of Illinois, LLC Past Accepting new patients
Crawford Avenue Anesthesia Provider Services Urbana, LLC Past Accepting new patients
Premier Anesthesia of Urbana Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

433 Commonwealth Blvd E
Martinsville, VA 24112
Phone (276) 632-7207

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

2154 McVitty Rd SW
Ste 101
Roanoke, VA 24018
Phone (540) 378-5276

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

438 W Main St
Salem, VA 24153
Phone (540) 378-5276

470 Lithia Rd
#2
Wytheville, VA 24382

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

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": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1174843015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 FLOYD AVE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511318",
            "telephone_number": "540-489-6353",
            "fax_number": "540-484-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 FLOYD AVE",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "24151",
            "telephone_number": "540-489-6353",
            "fax_number": "540-484-8552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W Park St",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618012334",
            "country_code": "US",
            "telephone_number": "770-643-5619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARPER",
        "first_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024170781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.