Individual provider Active NPI

Dana Lynn Houseknecht, CRNA

  • Certified Registered Nurse Anesthetist
  • Florence, SC
National Provider Identifier
1215070248
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3239 Issued in SC
Practice address
805 Pamplico Hwy
Florence, SC 29505-6019
Phone
(843) 674-2800
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 3239 SC Primary

Addresses

Primary practice location

805 Pamplico Hwy
Florence, SC 29505-6019

Mailing address

2712 Triple Crown Dr
Florence, SC 29505-8751
Phone (843) 617-7465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070727000069 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274634712 Reassigns benefits to 5 organizations
I20181002001616 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274634712 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

Hospital & facility affiliations

  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3239SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Mar 11, 2022 Accepting new patients
Advanced Gynecology PC CurrentSince Jul 1, 2022 Accepting new patients
Carolina Family Care, Inc CurrentSince Oct 31, 2021 Accepting new patients
Coastal Healthcare Resources Inc Nurse Anesthetist, Certified Registered CurrentSince May 26, 2012 Accepting new patients
Advanced Gynecology PC CurrentSince Jul 1, 2022 Accepting new patients
Advanced Urology Anesthesia, LLC CurrentSince Jul 1, 2022 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Dec 16, 2018 Accepting new patients
Musc Community Physicians CurrentSince Mar 11, 2022 Accepting new patients
Advanced Urology Institute of Georgia, PC CurrentSince Jun 25, 2022 Accepting new patients
Advanced Urology Institute of Georgia CurrentSince Jun 25, 2022 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2014 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince May 1, 2014 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2016 Accepting new patients
Carolina Family Care, Inc CurrentSince Oct 31, 2021 Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

2041 Mesa Valley Way
Ste 125
Austell, GA 30106
Phone (678) 309-8100

4441 Atlanta Rd SE
Ste 312
Smyrna, GA 30080
Phone (470) 956-4200

3670 Highlands Pkwy SE
Smyrna, GA 30082
Phone (770) 528-9574

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

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 and National Provider Directory roles.

View all 15

Hospital & facility affiliations 1

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1215070248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 TRIPLE CROWN DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295058751",
            "telephone_number": "843-617-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056019",
            "telephone_number": "843-674-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEKNECHT",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "3239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.