Active NPI
Vivian K. Vermillion, CRNA
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
National Provider Identifier
1356374458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 581038
- Practice address
- 7451 Aspen Wood CT
Fort Worth, TX 76179-2909 - Phone
- (817) 210-6231
- Fax
- (866) 705-6048
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 581038 | TX | Primary |
Addresses
Primary practice location
7451 Aspen Wood CT
Fort Worth, TX 76179-2909
Mailing address
PO Box 136058
Fort Worth, TX 76136-0058
Phone (682) 521-2992
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 581038 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| East Texas Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1154317394
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1497804371
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1356374458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 136058",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761360058",
"telephone_number": "682-521-2992",
"fax_number": "866-705-6048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7451 ASPEN WOOD CT",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761792909",
"telephone_number": "817-210-6231",
"fax_number": "866-705-6048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMILLION",
"first_name": "VIVIAN",
"middle_name": "K.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "581038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.