Andi Marie Anderson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

143826 Issued in TX

Practice address

3340 Players Club Parkway
Suite 350
Memphis, TN 38125

Phone

(432) 967-5521

NPI assigned

Jan 2, 2012

Last updated

Sep 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Andi Marie Johnson Former name

Medicare fee-for-service enrollment

Enrolled in TN, AR2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midsouth Speciality Anesthesia Services LLCGroup PAC ID 6103293667, 29 clinicians

Lifelinc Anesthesia V, P.a.Group PAC ID 8921359712, 41 clinicians

Lifelinc Anesthesia PLLCGroup PAC ID 0941347447, 169 clinicians

Lauderdale Community Hospital LLCGroup PAC ID 9830505023, shared by 3 NPIs, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital-Crittenden, Inc Hospital, West Memphis, AR, CCN 040156
• Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131
• Lauderdale Community Hospital Hospital, Ripley, TN, CCN 441314

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9

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.

• Midsouth Speciality Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Germantown, TN
  • NPI 1245956440

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Lifelinc Anesthesia V, P.a.

  • Anesthesiology Physician
  • West Memphis, AR
  • NPI 1063907244

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Lifelinc Anesthesia, PLLC

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1801021464
  Medicare reassignment Care Compare group
• East Memphis Anesthesia Services PLC

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1578592663
  Medicare reassignment NPD
• Lauderdale Community Hospital LLC

  dba Lauderdale Community Hospital

  • Critical Access Hospital
  • Ripley, TN
  • NPI 1376175687
  Medicare reassignment NPD
• Lauderdale Community Hospital LLC

  dba Lauderdale Community Hospital

  • Emergency Care Clinic/Center
  • Ripley, TN
  • NPI 1962034272
  Medicare reassignment NPD
• Lifelinc Anesthesia VIII PLLC

  • Anesthesiology Physician
  • Newport, TN
  • NPI 1679265052

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Northstar Anesthesia of Tennessee, PLLC

  • Anesthesiology Physician
  • McMinnville, TN
  • NPI 1821390451
  Medicare reassignment NPD
• Phillip R. Bowden, M.D.,P.a.

  • Gastroenterology Physician
  • Memphis, TN
  • NPI 1932216389
  Medicare reassignment NPD
• Convienent Care Clinic

  • Clinic/Center
  • Dyersburg, TN
  • NPI 1760759617
  NPD
• Lauderdale Community Hospital LLC

  dba Lauderdale Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Ripley, TN
  • NPI 1356973663
  NPD
• Permian Anesthesia Associates, Inc

  • Certified Registered Nurse Anesthetist
  • Odessa, TX
  • NPI 1518959089

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital-Tipton

  • General Acute Care Hospital
  • Covington, TN
  • NPI 1316901937
  Care Compare affiliation
• Lauderdale Community Hospital LLC

  dba Lauderdale Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Ripley, TN
  • NPI 1356973663
  Care Compare affiliation
• Lauderdale Community Hospital LLC

  dba Lauderdale Community Hospital

  • Critical Access Hospital
  • Ripley, TN
  • NPI 1376175687
  Care Compare affiliation
• Baptist Memorial Hospital - Crittenden Inc

  • General Acute Care Hospital
  • West Memphis, AR
  • NPI 1437634524
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1174893598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1018",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380021018",
            "telephone_number": "432-967-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PLAYERS CLUB PARKWAY",
            "address_2": "SUITE 350",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38125",
            "telephone_number": "432-967-5521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7225 Deadfall Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TN",
            "postal_code": "38002",
            "country_code": "US",
            "telephone_number": "432-967-5521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANDI",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28227075A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "143826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDI",
            "last_name": "JOHNSON",
            "middle_name": "MARIE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven John Anander, M.D.
• Anb Senior Services
• Catherine Anderson Quinones, MD
• Alisha Anderson
• Amelia Goodwin Anderson, PHARM.D.
• Andrae Desean Anderson
• Andrew Louis Anderson, LADAC
• Anjanette Anderson
• Ashlea A Anderson, NP
• Benneka Anderson

• Certified Registered Nurse Anesthetist in Memphis, TN
• Providers in Memphis, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.