Active NPI
Natalie Dominique Verdetto, CRNA, MSN
- Certified Registered Nurse Anesthetist
- Mount Pleasant, SC
National Provider Identifier
1376828434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 21974A
- Practice address
- 1209 Dingle Road
Mount Pleasant, SC 29466 - Phone
- (570) 499-7570
- NPI assigned
- Oct 19, 2011
- Last updated
- Oct 5, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN588202 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 21974A | SC | Primary |
Addresses
Primary practice location
1209 Dingle Road
Mount Pleasant, SC 29466
Mailing address
9263 Medical Plaza Dr Ste E
Charleston, SC 29406-7112
Phone (843) 572-1228
Other practice location 1
204 Sussex St
Old Forge, PA 18518-1638
Phone (570) 499-7570
Other practice location 2
9263 Medical Plaza Dr Ste E
Charleston, SC 29406-7112
Phone (843) 572-1228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 73.38 of 100
- Quality
- 77.5
- Improvement activities
- 20
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21974A | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Network Services, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1508199142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538697600000",
"number": "1376828434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9263 MEDICAL PLAZA DR STE E",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294067112",
"telephone_number": "843-572-1228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 DINGLE ROAD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "29466",
"telephone_number": "570-499-7570"
}
],
"practiceLocations": [
{
"address_1": "204 Sussex St",
"address_purpose": "LOCATION",
"city": "Old Forge",
"state": "PA",
"postal_code": "185181638",
"country_code": "US",
"telephone_number": "570-499-7570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9263 Medical Plaza Dr Ste E",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294067112",
"country_code": "US",
"telephone_number": "843-572-1228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERDETTO",
"first_name": "NATALIE",
"middle_name": "DOMINIQUE",
"credential": "CRNA, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2018-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN588202",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "21974A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.