Organization Active NPI

Susan K Anderson Crna Ms PC

  • Certified Registered Nurse Anesthetist
  • Midland, TX
National Provider Identifier
1215282280
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
616662 Issued in TX
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

Updated by the provider on Jul 17, 2012

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)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.