Organization Active NPI

Crna Relief PLLC

  • Certified Registered Nurse Anesthetist
  • Madisonville, KY
National Provider Identifier
1184817827
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
CRNA RELIEF PLLC
Practice address
44 McCoy Ave
Madisonville, KY 42431-2867
Phone
(270) 821-6818
NPI assigned
Aug 27, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Trey Edward Early, CRNA MSN
Title
Owner President
Phone
(270) 846-4616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X KY Primary

Addresses

Primary practice location

44 McCoy Ave
Madisonville, KY 42431-2867

Mailing address

178 Fisher LN
Bowling Green, KY 42103-9772
Phone (270) 846-4616

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184817827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 FISHER LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421039772",
            "telephone_number": "270-846-4616",
            "fax_number": "270-846-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MCCOY AVE",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312867",
            "telephone_number": "270-821-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRNA RELIEF PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EARLY",
        "authorized_official_first_name": "TREY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "270-846-4616",
        "authorized_official_credential": "CRNA MSN"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.