Active NPI
Tyler G. Higginson, Crna, LLC
- Certified Registered Nurse Anesthetist
- Oshkosh, WI
National Provider Identifier
1336489418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3410-33
- Legal business name
- TYLER G. HIGGINSON, CRNA, LLC
- Practice address
- 5295 Ivy LN
Oshkosh, WI 54904-9528 - Phone
- (920) 966-0338
- NPI assigned
- Feb 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler G Higginson, CRNA
- Title
- President
- Phone
- (920) 966-0338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3410-33 | WI | Primary |
Addresses
Primary practice location
5295 Ivy LN
Oshkosh, WI 54904-9528
Mailing address
PO Box 2123
Appleton, WI 54912-2123
National Provider Directory
National Provider DirectoryLocations
501 Doctors Ct
Oshkosh, WI 54901
Phone (608) 829-7777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361836800000",
"number": "1336489418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2123",
"city": "APPLETON",
"state": "WI",
"postal_code": "549122123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5295 IVY LN",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549049528",
"telephone_number": "920-966-0338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TYLER G. HIGGINSON, CRNA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-26",
"last_updated": "2013-02-26",
"status": "A",
"authorized_official_last_name": "HIGGINSON",
"authorized_official_first_name": "TYLER",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-966-0338",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "3410-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.