Havencrest Anesthesia PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

HAVENCREST ANESTHESIA PLLC

Practice address

16633 Dallas Pkwy Ste 150
Addison, TX 75001-6812

Phone

(214) 390-7697

Fax

(888) 770-6360

NPI assigned

Sep 11, 2020

Organization subpart

No

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

Authorized official

Name

Johnny W East

Title

Admin

Phone

(214) 390-7697

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1295340719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 RIDGEVIEW DRIVE STE 140 PMB 192",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "214-390-7697",
            "fax_number": "888-770-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 DALLAS PKWY STE 150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016812",
            "telephone_number": "214-390-7697",
            "fax_number": "888-770-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENCREST ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "214-390-7697"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Harris
• Tori Bottiglione Hartline, DC, MS
• Tiffany C. Hartman, PA
• Mani Hashemi, MD
• Robert G Hassett, D.O.
• Hawk Anesthesia Management, LLC
• Hawthorn Anesthesia Management, LLC
• Travis Daniel Hayden
• Hazelwood Endoscopy Center, LLC (Endoscopy & Colonscopy Center)
• Hear in Dallas, Inc

• Certified Registered Nurse Anesthetist in Addison, TX
• Providers in Addison, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.