Individual provider Active NPI

Alice Mae Dozzi, CRNA

  • Certified Registered Nurse Anesthetist
  • Braddock, PA
National Provider Identifier
1366450694
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN162687L Issued in PA
Practice address
400 Holland Ave
Braddock, PA 15104-1599
Phone
(412) 636-5612
Fax
(412) 636-5689
NPI assigned
Aug 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN162687L PA Primary

Addresses

Primary practice location

400 Holland Ave
Braddock, PA 15104-1599

Mailing address

5859 Saltsburg Rd
Verona, PA 15147-3311
Phone (412) 793-0802

Other names 1

  • Miss Alice Mae Wilson Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366450694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5859 SALTSBURG RD",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151473311",
            "telephone_number": "412-793-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOLLAND AVE",
            "city": "BRADDOCK",
            "state": "PA",
            "postal_code": "151041599",
            "telephone_number": "412-636-5612",
            "fax_number": "412-636-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOZZI",
        "first_name": "ALICE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN162687L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "WILSON",
            "middle_name": "MAE",
            "prefix": "MISS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Braddock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.