Active NPI
Stephen A Henefield, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Nogales, AZ
National Provider Identifier
1245219179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN138245
- Practice address
- 1171 W Target Range Rd
Nogales, AZ 85621-2415 - Phone
- (520) 285-8010
- NPI assigned
- Jan 10, 2006
- Last updated
- Jan 11, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R 075850-1 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | RN138245 | AZ | Primary |
Addresses
Primary practice location
1171 W Target Range Rd
Nogales, AZ 85621-2415
Mailing address
2202 N Forbes Blvd
Tucson, AZ 85745-1412
Phone (520) 872-7536
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z144889 | Other | AZ | MEDICARE PTAN |
| 101828 | Medicaid | AZ | |
| 702243300 | Medicaid | MN |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN138245 | AZ | MD | Certified Registered Nurse Anesthetist |
| R 075850-1 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Cruz Anesthesia Associates | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Arizona Diagnostic Pathology Associates PLLC | Past | Accepting new patients | |
| Carondelet Specialist Group, Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Tucson, AZ
- NPI 1326222696
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tucson, AZ
- NPI 1891978516
-
- Certified Registered Nurse Anesthetist
- Nogales, AZ
- NPI 1316040769
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1245219179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 N FORBES BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451412",
"telephone_number": "520-872-7536",
"fax_number": "520-872-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 W TARGET RANGE RD",
"city": "NOGALES",
"state": "AZ",
"postal_code": "856212415",
"telephone_number": "520-285-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENEFIELD",
"first_name": "STEPHEN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R 075850-1",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "RN138245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z144889",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101828",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "702243300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nogales, AZ
- HCH Tucson Holdings LLC (Holy Cross Hospital Swing Beds)
- HCH Tucson Holdings LLC (Holy Cross Hospital)
- Health and Healing Bliss LLC
- Marian B. Heaton, OT
- Helping Ourselves Pursue Enrichment, Inc. (HOPE, Inc.)
- Tanya Henry, M.D.
- Edith Giuliana Hernandez Hinostroza, M.D.
- Angelica Rita Hernandez, BSN, RN
- Jose Antonio Hernandez
- Jose M Hernandez, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.