Organization Active NPI

Tyler G. Higginson, Crna, LLC

  • Certified Registered Nurse Anesthetist
  • Oshkosh, WI
National Provider Identifier
1336489418
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3410-33 Issued in WI
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

Updated by the provider on Feb 26, 2013

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)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.