Active NPI
Michelle L House, CRNA
- Certified Registered Nurse Anesthetist
- Mobile, AL
National Provider Identifier
1376652545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-075074
- Practice address
- 3719 Dauphin St
Mobile, AL 36608-1753 - Phone
- (251) 342-3000
- Fax
- (251) 342-3043
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-075074 | AL | Primary |
Addresses
Primary practice location
3719 Dauphin St
Mobile, AL 36608-1753
Mailing address
2407 S Vaughan Dr
Mobile, AL 36605-3353
Phone (217) 971-7133
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104824 | Medicaid | AL | |
| CN0216 | Other | AL | RAILROAD MEDICARE |
| CN0216 | Other | AL | MEDICARE TRAVELERS |
| 105274 | Medicaid | AL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Anesthesia, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1588637169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1376652545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 S VAUGHAN DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366053353",
"telephone_number": "217-971-7133",
"fax_number": "251-342-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3719 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081753",
"telephone_number": "251-342-3000",
"fax_number": "251-342-3043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSE",
"first_name": "MICHELLE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-075074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104824",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CN0216",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TRAVELERS",
"identifier": "CN0216",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105274",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.