Individual provider Active NPI

Richard Harry Tee, CRNA

  • Certified Registered Nurse Anesthetist
  • Plymouth, NC
National Provider Identifier
1346251964
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
47279 Issued in NC
Practice address
958 U.S. Hwy 64 East
Plymouth, NC 27962-9216
Phone
(252) 793-4135
Fax
(252) 793-7740
NPI assigned
Aug 10, 2006
Last updated
Feb 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 023260 NC
Certified Registered Nurse Anesthetist 367500000X 47279 NC Primary

Addresses

Primary practice location

958 U.S. Hwy 64 East
Plymouth, NC 27962-9216

Mailing address

PO Box 707
Plymouth, NC 27962-0707
Phone (252) 793-4135

Other identifiers 1

IdentifierTypeStateIssuer
8050918MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
023260NCMDCertified Registered Nurse Anesthetist
47279NCMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1346251964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279620707",
            "telephone_number": "252-793-4135",
            "fax_number": "252-793-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 U.S. HWY 64 EAST",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629216",
            "telephone_number": "252-793-4135",
            "fax_number": "252-793-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEE",
        "first_name": "RICHARD",
        "middle_name": "HARRY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "023260",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "47279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8050918",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.