NPIMap

Organization Active NPI

Dreamworks Anesthesia Associates PLLC

  • Certified Registered Nurse Anesthetist
  • Lufkin, TX
National Provider Identifier
1376581025
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
DREAMWORKS ANESTHESIA ASSOCIATES PLLC
Practice address
505 S John Redditt Dr
Lufkin, TX 75904-3120
Phone
(936) 639-3036
NPI assigned
Jun 3, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Glenda Yates, CRNA
Title
Manager
Phone
(936) 639-3036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

505 S John Redditt Dr
Lufkin, TX 75904-3120

Mailing address

PO Box 151736
Lufkin, TX 75915-1736

Other identifiers 1

IdentifierTypeStateIssuer
00C48POtherTXBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1376581025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151736",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759151736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S JOHN REDDITT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043120",
            "telephone_number": "936-639-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMWORKS ANESTHESIA ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "936-639-3036",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00C48P",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.