Active NPI
Susan K Anderson Crna Ms PC
- Certified Registered Nurse Anesthetist
- Midland, TX
National Provider Identifier
1215282280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 616662
- Legal business name
- SUSAN K ANDERSON CRNA MS PC
- Practice address
- 4519 N Garfield St
Suite 15
Midland, TX 79705-3415 - Phone
- (432) 520-0291
- Fax
- (432) 520-2723
- NPI assigned
- Jul 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan K Anderson, CRNA
- Title
- President
- Phone
- (432) 889-2003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 616662 | TX | Primary |
Addresses
Primary practice location
4519 N Garfield St
Suite 15
Midland, TX 79705-3415
Mailing address
1705 West Storey
Midland, TX 79701-5902
Phone (432) 889-2003
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342483200000",
"number": "1215282280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 WEST STOREY",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797015902",
"telephone_number": "432-889-2003",
"fax_number": "432-520-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4519 N GARFIELD ST",
"address_2": "SUITE 15",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797053415",
"telephone_number": "432-520-0291",
"fax_number": "432-520-2723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN K ANDERSON CRNA MS PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "432-889-2003",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "616662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.