Active NPI
Traveling Crna LLC
- Anesthesiology Physician
- Rosedale, MD
National Provider Identifier
1366112906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- TRAVELING CRNA LLC
- Practice address
- 5233 King Ave Ste 208
Rosedale, MD 21237-4003 - Phone
- (443) 889-8558
- NPI assigned
- Sep 15, 2021
- 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
- Anne Muntuerto
- Title
- Crna/Owner
- Phone
- (443) 889-8558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
5233 King Ave Ste 208
Rosedale, MD 21237-4003
Mailing address
6210 Briar CT
Elkridge, MD 21075-5941
Phone (443) 889-8558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Baltimore, MD
- NPI 1639446966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631664000000",
"number": "1366112906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 BRIAR CT",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210755941",
"telephone_number": "443-889-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5233 KING AVE STE 208",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212374003",
"telephone_number": "443-889-8558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAVELING CRNA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-15",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A",
"authorized_official_last_name": "MUNTUERTO",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "CRNA/OWNER",
"authorized_official_telephone_number": "443-889-8558"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosedale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.