Active NPI
Daniel Draper, CRNA
- Certified Registered Nurse Anesthetist
- Bowling Green, KY
National Provider Identifier
1194767020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3014095
- Practice address
- 1801 Ashley Cir
Bowling Green, KY 42104-3362 - Phone
- (270) 793-1000
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 25170 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 1-031943 | AL | |
| Certified Registered Nurse Anesthetist | 367500000X | 3014095 | KY | Primary |
Addresses
Primary practice location
1801 Ashley Cir
Bowling Green, KY 42104-3362
Mailing address
PO Box 235019
Montgomery, AL 36123-5019
Phone (334) 279-1450
Other practice location 1
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (800) 232-5703
Other practice location 2
110 29th Ave N Ste 202
Nashville, TN 37203-1448
Phone (615) 327-4304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000032118 | Medicaid | AL | |
| 32118 | Other | AL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-031943 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amsol Anesthetists of Georgia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1649224775
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1194767020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235019",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361235019",
"telephone_number": "334-279-1450",
"fax_number": "334-279-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 ASHLEY CIR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043362",
"telephone_number": "270-793-1000"
}
],
"practiceLocations": [
{
"address_1": "2000 Pepperell Pkwy",
"address_purpose": "LOCATION",
"city": "Opelika",
"state": "AL",
"postal_code": "368015452",
"country_code": "US",
"telephone_number": "800-232-5703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 29th Ave N Ste 202",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372031448",
"country_code": "US",
"telephone_number": "615-327-4304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAPER",
"first_name": "DANIEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "25170",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-031943",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3014095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000032118",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "32118",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.