Leatrice R Cowan, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

A810086 Issued in MS

Practice address

1970 Hospital Dr
Clarksdale, MS 38614-7202

Phone

(662) 624-3534

Fax

(662) 621-5087

NPI assigned

May 20, 2006

Last updated

Jun 27, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Leatrice R Neely Former name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Miss Regional Medical CenterGroup PAC ID 3173969177, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Missississippi Regional Medical Center Hospital, Clarksdale, MS, CCN 250042

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Northwest Miss Regional Medical Center

  dba NWMRMC OPT Clinics

  • Internal Medicine Physician
  • Clarksdale, MS
  • NPI 1598458515

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Delta Health System

  dba Delta Health-Medical Group (Anesthesia)

  • Anesthesiology Physician
  • Greenville, MS
  • NPI 1447818026

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Delta Health System

  dba Delta Health-Medical Group

  • Internal Medicine Physician
  • Clarksdale, MS
  • NPI 1609464619

  Nurse Anesthetist, Certified Registered

  NPD
• Northwest Miss Regional Medical Center

  dba Northwest Mississippi Regional Medical Center

  • Emergency Medicine Physician
  • Clarksdale, MS
  • NPI 1699468686
  NPD
• Clarksdale Hma Physican Management, LLC

  dba Campbell Family Clinic

  • Rural Health Clinic/Center
  • Clarksdale, MS
  • NPI 1063654721
  NPD (past)
• American Anesthesiology Associates of Virginia, Inc

  • Anesthesiology Physician
  • Fredericksburg, VA
  • NPI 1528059896
  NPD (past)
• Anesthesia Healthcare Partners of Tennessee PLLC

  • Anesthesiology Physician
  • Germantown, TN
  • NPI 1932226958

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Poplar Bluff Regional Medical Center LLC

  dba Poplar Bluff Regional Medical Center

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Resource Anesthesia, P.C.

  • Certified Registered Nurse Anesthetist
  • Lenoir City, TN
  • NPI 1033162045

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Miss Regional Medical Center

  dba Northwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • Clarksdale, MS
  • NPI 1275217606
  Care Compare affiliation

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1346294550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 BENNING ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381066231",
            "telephone_number": "901-948-1033",
            "fax_number": "662-621-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 HOSPITAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147202",
            "telephone_number": "662-624-3534",
            "fax_number": "662-621-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "LEATRICE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "A810086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05287878",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEATRICE",
            "last_name": "NEELY",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Certified Registered Nurse Anesthetist in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.

Verify at the official NPI Registry.