Active NPI
Jon S. Fannin, CRNA
- Certified Registered Nurse Anesthetist
- Kerrville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R43299
- Practice address
- 710 Water St
Kerrville, TX 78028-5329 - Phone
- (830) 896-1344
- NPI assigned
- Jun 5, 2006
- Last updated
- Oct 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R43299 | NM | Primary |
Addresses
Primary practice location
710 Water St
Kerrville, TX 78028-5329
Mailing address
420 Water St
105-B
Kerrville, TX 78028-5200
Phone (830) 896-1344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, TX, FL
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
117 E 19TH St
Lovelace Regional Hospital Roswell
Roswell, NM 88201-5151
Phone (575) 627-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R43299 | NM | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams Baptist LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Main Street Anesthesia of New Mexico, LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Ams of Gulf Breeze LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Las Palmas del Sol Cardiology, PLLC | Past | Accepting new patients | |
| Etap Group Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Asf Group Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Kentucky Rehabilitation Services Inc | Past | Accepting new patients | |
| Texas Anesthesia Specialists PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-0793
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
Organizations & group practices 12
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.
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1093020216
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1376812032
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Certified Registered Nurse Anesthetist
- Sulphur Springs, TX
- NPI 1568472744
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Sulphur Springs, TX
- NPI 1447533831
Nurse Anesthetist, Certified Registered
-
- Cardiovascular Disease Physician
- El Paso, TX
- NPI 1255690046
-
- Anesthesiology Physician
- El Paso, TX
- NPI 1710124490
Nurse Anesthetist, Certified Registered
-
dba NovaCare Rehabilitation
- Rehabilitation Clinic/Center
- Hebron, KY
- NPI 1669070363
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Eastern New Mexico Medical Center
- General Acute Care Hospital
- Roswell, NM
- NPI 1447221742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1376582551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 WATER ST",
"address_2": "105-B",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285200",
"telephone_number": "830-896-1344",
"fax_number": "830-896-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 WATER ST",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285329",
"telephone_number": "830-896-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANNIN",
"first_name": "JON",
"middle_name": "S.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "R43299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.