Betty S Tiner, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C00881 Issued in AR

Practice address

624 Hospital Drive
Mountain Home, AR 72653-2955

Phone

(870) 508-1000

NPI assigned

Aug 15, 2006

Last updated

Sep 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Physicians Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Blytheville, AR
  • NPI 1114906393
  NPD
• Physicians Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Blytheville, AR
  • NPI 1295851137
  NPD
• Arkansas Methodist Hospital Corporation

  dba Ammc Ambulance Service

  • Ambulance
  • Paragould, AR
  • NPI 1578633368
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1275546541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2336",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726542336",
            "telephone_number": "870-424-7070",
            "fax_number": "870-424-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HOSPITAL DRIVE",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532955",
            "telephone_number": "870-508-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINER",
        "first_name": "BETTY",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C00881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00173650",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124469701",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129712001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55651",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Gaye Thornton, ANP
• Anthony Paul Thornton, BSN, RN
• Jordan Philip Thrasher
• Three Rivers Senior Services, Inc.
• Dennis R Tindall, P.T.
• Randy Edwin Tinsley Jr., DPT
• TKW Counseling Service, LLC (Mountain Home Counseling)
• Toad Suck Surgical Services, LLC
• Audrey Marie Tobin, QBHP
• Ashley Toler, PLMSW

• Certified Registered Nurse Anesthetist in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.