Active NPI
Janith S Dehaven, CRNA
- Certified Registered Nurse Anesthetist
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1026900
- Practice address
- 4370 W Main Street
Dothan, AL 36305 - Phone
- (334) 793-5000
- Fax
- (334) 615-8419
- NPI assigned
- Mar 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 1026900 | AL | Primary |
Addresses
Primary practice location
4370 W Main Street
Dothan, AL 36305
Mailing address
PO Box 6907
Dothan, AL 36302
Phone (334) 793-5000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03737502 | Medicaid | MS | |
| 51515737 | Other | AL | BLUE CROSS BLUE SHIELD |
| P00055593 | Other | RR MEDICARE | |
| 1772445 | Medicaid | LA |
Other names 1
- Janith S Pratt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 647-4411
1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 772-3400
84 Brookshire LN
Beckley, WV 25801-6765
Phone (304) 255-2724
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1026900 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camc Greenbrier Valley Medical Center Inc | Current | Accepting new patients | |
| Valley Anesthesia PC | Current | Accepting new patients | |
| Safe & Sound Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Camc Greenbrier Valley Medical Center, Inc. | Current | Accepting new patients |
Locations
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
84 Brookshire Ln
Beckley, WV 25801
Phone (304) 255-2341
1521 Maplewood Ave
Ronceverte, WV 24970
1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Ronceverte, WV
- NPI 1588373872
-
- Certified Registered Nurse Anesthetist
- Beckley, WV
- NPI 1215654553
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Salem, VA
- NPI 1275587115
-
dba CAMC Greenbrier Valley Medical Center Primary Care
- Rural Health Clinic/Center
- Peterstown, WV
- NPI 1588485478
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lewisgale Medical Center
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336100270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6907",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36302",
"telephone_number": "334-793-5000",
"fax_number": "334-615-8419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 W MAIN STREET",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36305",
"telephone_number": "334-793-5000",
"fax_number": "334-615-8419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHAVEN",
"first_name": "JANITH",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1026900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03737502",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51515737",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00055593",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1772445",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANITH",
"last_name": "PRATT",
"middle_name": "S",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.