Active NPI
Timothy A Lewis, CRNA
- Certified Registered Nurse Anesthetist
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 714478
- Practice address
- 600 Elizabeth St
Corpus Christi, TX 78404-2235 - Phone
- (361) 881-3651
- NPI assigned
- Dec 2, 2005
- Last updated
- Oct 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 714478 | TX | Primary |
Addresses
Primary practice location
600 Elizabeth St
Corpus Christi, TX 78404-2235
Mailing address
6126 Garden CT
Corpus Christi, TX 78414-6071
Phone (361) 452-0165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85804U | Other | TX | BCBSTX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 N Galloway Ave
Mesquite, TX 75149-2433
Phone (800) 875-8523
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 714478 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gulf Shore Anesthesia Associates PA | Past | Accepting new patients |
Locations
1452 Hughes Rd
Ste 244
Grapevine, TX 76051
Phone (800) 875-8523
8751 Collin McKinney Pkwy
Ste 1603
McKinney, TX 75070
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Grapevine, TX
- NPI 1518265966
-
- Certified Registered Nurse Anesthetist
- Grapevine, TX
- NPI 1952026163
Nurse Anesthetist, Certified Registered
-
dba Gulf Shore Anesthesia Associates
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1902862147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1306820469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6126 GARDEN CT",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784146071",
"telephone_number": "361-452-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ELIZABETH ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784042235",
"telephone_number": "361-881-3651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "TIMOTHY",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "714478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "85804U",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
- Divina Dagatan Lewis, NP
- Jason Joshua Lewis, LPC, LMFT
- Robert Q. Lewis, M.D.
- Robin Marie Lewis, PSY.D
- Roger Helm Lewis, R.PH.
- Claudia Patricia Leyton-de la Torre, LPC
- Julie Ann Leyva
- LGM Health (Integra Chiropractic)
- LHCG Cxiii, LLC (CHRISTUS Homecare SPOHN)
- LHCG Cxiv, LLC (CHRISTUS Hospice and Palliative Care SPOHN)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.