Individual provider Active NPI

Andrea Lee Heninger, CRNA

  • Certified Registered Nurse Anesthetist
  • Hurst, TX
National Provider Identifier
1285622126
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
036954 Issued in TX
Practice address
729 Bedford Euless Rd W
Hurst, TX 76053-3939
Phone
(817) 282-1001
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 150915 OH
Certified Registered Nurse Anesthetist 367500000X 036954 TX Primary

Addresses

Primary practice location

729 Bedford Euless Rd W
Hurst, TX 76053-3939

Mailing address

13601 Preston Rd
#1000W
Dallas, TX 75240-4911
Phone (972) 715-5007

Other identifiers 3

IdentifierTypeStateIssuer
207153201MedicaidTX
2231892MedicaidOH
8608UUOtherTXBCBS

Other names 1

  • Andrea Lee Foster Former name

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
150915OHMDCertified Registered Nurse Anesthetist
036954TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Anesthesia PA Past Accepting new patients
First Anesthesia Associates Inc Past Accepting new patients
Perioperative Medical Consutants Inc Past Accepting new patients
Norumbega Medical Specialists, LTD Past Accepting new patients
Carolina Anesthesia Group PLLC Past Accepting new patients
Queen City Anesthesiologists Inc Past Accepting new patients
Grant Anesthesia Services LTD Past Accepting new patients
Universtiy Anesthesia Assoc., Inc. Past Accepting new patients
West Coast Anesthesiology Associates Nurse Anesthetist, Certified Registered PastSince Aug 1, 2006 Accepting new patients

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1285622126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 PRESTON RD",
            "address_2": "#1000W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404911",
            "telephone_number": "972-715-5007",
            "fax_number": "972-715-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 BEDFORD EULESS RD W",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533939",
            "telephone_number": "817-282-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENINGER",
        "first_name": "ANDREA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "150915",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "036954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207153201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2231892",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8608UU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "FOSTER",
            "middle_name": "LEE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.