Active NPI
Ashlea Catherine Cantu
- Certified Registered Nurse Anesthetist
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704329677
- Practice address
- 1355 Bogue St
East Lansing, MI 48824-6207 - Phone
- (248) 214-5729
- NPI assigned
- Jul 24, 2022
- Last updated
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704329677 | MI | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 4704329677 | MI |
Addresses
Primary practice location
1355 Bogue St
East Lansing, MI 48824-6207
Mailing address
1355 Bogue St
East Lansing, MI 48824-6207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 N E Ave
Henry Ford Allegiance Health
Jackson, MI 49201-1753
Phone (517) 205-4800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704329677 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Macomb Oakland Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
7920 Solutions Ctr Dr
Chicago, IL 60677
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
205 S East Ave
Jackson, MI 49201
Phone (517) 205-2103
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
Interoperability endpoints
- acantu997248@direct.hfhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allegiance Health
- Certified Registered Nurse Anesthetist
- Jackson, MI
- NPI 1598776718
Nurse Anesthetist, Certified Registered
-
dba St. John Macomb Hospital CRNAs
- Certified Registered Nurse Anesthetist
- Warren, MI
- NPI 1396789434
Nurse Anesthetist, Certified Registered
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Ford Allegiance Health
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1366177289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 BOGUE ST",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488246207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 BOGUE ST",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488246207",
"telephone_number": "248-214-5729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTU",
"first_name": "ASHLEA",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-24",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704329677",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MI",
"license": "4704329677",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
- Marlie Patel Campbell, DO
- Cannon Wellness Collective PLLC
- Ebony Cannon
- Octavia Manetta Cannon, D.O.
- Zana Cannon
- Cristina Capitanio
- Capitol Area Physical Therapy Associates, Inc. (Fyzical Therapy Mid-Michigan)
- Capitol Area Physical Therapy Associates, Inc. (Fyzical Therapy Mid-Michigan)
- Capitol Infectious Disease Associates
- Cardinal Health 414, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.