Active NPI
Cailey Scruggs Koonce, CRNA
- Certified Registered Nurse Anesthetist
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-109346
- Practice address
- 101 Sivley Rd SW
Huntsville, AL 35801-4421 - Phone
- (256) 265-9639
- Fax
- (256) 265-7767
- NPI assigned
- Jan 11, 2010
- Last updated
- Aug 5, 2016
- Sex
- Female
- 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 | ARNP9297226 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 811702 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 1-109346 | AL | Primary |
Addresses
Primary practice location
101 Sivley Rd SW
Huntsville, AL 35801-4421
Mailing address
101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-9639
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001796600 | Medicaid | FL | |
| 592-10007 | Other | AL | BLUE CROSS BLUE SHIELD |
| 115859 | Medicaid | AL | |
| Y02CP | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 W Market St
Athens, AL 35611-2457
Phone (256) 233-9292
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Alabama Mitchell Cancer Institute | Current | Accepting new patients | |
| Athens and Limestone County Healthcare Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Crna Services of DGH | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of South Alabama | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Huntsville Hospital Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of South Alabama | Current | Accepting new patients | |
| M and M Anesthesiology PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ams Baptist LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ams of Gulf Breeze LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| HH Health System-Morgan Inc. | Past | Accepting new patients | |
| The Anesthesia Group, P.a. | Past | Accepting new patients |
Locations
22454 US Highway 72
Athens, AL 35613
Phone (256) 233-9292
700 W Market St
Athens, AL 35611
Phone (256) 233-9292
1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
2451 Fillingim St
Rm 315
Mobile, AL 36617
Phone (251) 471-7944
Organizations & group practices 11
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.
-
dba Athens Limestone CRNA Group
- Certified Registered Nurse Anesthetist
- Athens, AL
- NPI 1093951188
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Decatur, AL
- NPI 1306088471
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Huntsville, AL
- NPI 1851321079
Nurse Anesthetist, Certified Registered
-
dba USA Student Health Center
- Family Medicine Physician
- Mobile, AL
- NPI 1992746838
-
- Clinical Medical Laboratory
- Mobile, AL
- NPI 1497859052
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Mobile, AL
- NPI 1023210259
-
dba Milestone Pediatrics
- Pediatrics Physician
- Decatur, AL
- NPI 1700150026
-
- Anesthesiology Physician
- Foley, AL
- NPI 1043534027
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1093020216
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1376812032
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1871532226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Athens Limestone Hospital
- General Acute Care Hospital
- Athens, AL
- NPI 1144695081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1265762454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SIVLEY RD SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014421",
"telephone_number": "256-265-9639",
"fax_number": "256-265-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SIVLEY RD SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014421",
"telephone_number": "256-265-9639",
"fax_number": "256-265-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOONCE",
"first_name": "CAILEY",
"middle_name": "SCRUGGS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9297226",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "811702",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-109346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001796600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "592-10007",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115859",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y02CP",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.