Individual provider Active NPI

Pattiann Vantreese, CRNA

  • Certified Registered Nurse Anesthetist
  • East China, MI
National Provider Identifier
1366471609
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704143719 Issued in MI
Practice address
4100 S River Rd
East China, MI 48054-2909
Phone
(810) 326-2024
NPI assigned
Jun 30, 2006
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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 4704143719 MI Primary

Addresses

Primary practice location

4100 S River Rd
East China, MI 48054-2909

Mailing address

4100 S River Rd
East China, MI 48054-2909
Phone (810) 326-2024

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

State licenses

LicenseStateTypeSpecialty
4704143719MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Services, LLC CurrentSince Mar 3, 2018 Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
Northwestern Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 3, 2018 Accepting new patients
Prime Healthcare Services-Port Huron LLC CurrentSince Sep 1, 2015 Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2009 Accepting new patients
Surgical Centers of Michigan, LLC CurrentSince Apr 17, 2017 Accepting new patients
Macomb Endoscopy Center PLC Current Accepting new patients
Macomb Endoscopy Center, PLC CurrentSince Apr 17, 2017 Accepting new patients
Prime Healthcare Services-Port Huron LLC CurrentSince Sep 1, 2015 Accepting new patients
Surgical Centers of Michigan, LLC. Current Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555

4190 24th Ave
Fort Gratiot, MI 48059
Phone (810) 216-4300

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

48801 Romeo Plank Rd
Ste 101
Macomb, MI 48044
Phone (586) 726-8423

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

2601 Electric Ave
#C
Port Huron, MI 48060
Phone (810) 216-1500

4600 Investment Dr
Ste 270
Troy, MI 48098
Phone (248) 267-6222

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1366471609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S RIVER RD",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542909",
            "telephone_number": "810-326-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S RIVER RD",
            "city": "EAST CHINA",
            "state": "MI",
            "postal_code": "480542909",
            "telephone_number": "810-326-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTREESE",
        "first_name": "PATTIANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704143719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East China, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.