Nurse Anesthesia Providers, Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

R686891 Issued in MS

Legal business name

NURSE ANESTHESIA PROVIDERS, INC

Practice address

3353 N Gloster St
Tupelo, MS 38804-9735

Phone

(662) 407-0334

Fax

(662) 407-0335

NPI assigned

May 15, 2007

Last updated

Oct 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robin W Seale, CRNANPI 1275512410

Title

Owner

Phone

(601) 260-2350

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin Seale, CRNA

  • Certified Registered Nurse Anesthetist
  • Tupelo, MS
  • NPI 1275512410
  Medicare reassignment NPD Authorized official
• Charles E Dalton Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Tupelo, MS
  • NPI 1720004914
  Medicare reassignment NPD

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1275749228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390430085",
            "telephone_number": "601-260-2350",
            "fax_number": "601-706-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 N GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388049735",
            "telephone_number": "662-407-0334",
            "fax_number": "662-407-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE ANESTHESIA PROVIDERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "SEALE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-260-2350",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "R686891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08508830",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00367222",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1275512410",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MS",
            "identifier": "426332234B",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Mental Health-Mental Retardation Commission (Lifecore Health Group)
• Northeast Mental Health-Mental Retardation Commission (Lifecore Health Group)
• Northeast Mental Health/Mental Retardation Commission (Northeast Mental Health-Menta)
• Allison Burks Norwood, O.D.
• Jessica Ruth Nunley, LPN
• Sarah O'Brien
• Amy O'Daniel, FNP-C
• Kristy O'Dell
• Peggy Jo Oakes
• William Thomas Oakes Jr., M.D.

• Anesthesiology Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Anesthesiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.