Scarlett Justine Abrams, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Rock Hill, SC
NPI 1376965285 · NPPES record last updated Aug 5, 2019
Key facts
- NPI
- 1376965285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 100040 (NC)
- Practice address
- 222 S Herlong Ave
Rock Hill, SC 29732-1158 - Phone
- (803) 329-1234
- NPI assigned
- Jan 11, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.26 of 100
- Quality
- 84.96
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.58
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160419000465 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1052541232 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100040 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Physician Network LLC | Current |
Accepting new patients | |
| York County Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Providence Anesthesiology Associates, P.a. | Current |
Accepting new patients | |
| Anesthesia Associates of Rock Hill, P.a. | Current |
Accepting new patients | |
| Gaston Anesthesia Associates, P.a. | Past | Accepting new patients | |
| Ambulatory Anesthesia of Pinehurst, PA | Past | Accepting new patients |
Locations
3735 Glenlake Dr
Ste 250
Charlotte, NC 28208
Phone (704) 749-5801
2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294
222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950
164 Glenwood Dr
Rock Hill, SC 29732
Phone (803) 325-9010
200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950
Interoperability endpoints
- https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 100040 | NC | Yes |
Addresses
Primary practice location
222 S Herlong Ave
Rock Hill, SC 29732-1158
Mailing address
PO Box 848599
Boston, MA 02284-8599
Phone (888) 549-1922
Other names
- Scarlett Justine Blake
NPI Registry JSON
{
"created_epoch": "1389398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1376965285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 848599",
"city": "BOSTON",
"state": "MA",
"postal_code": "022848599",
"telephone_number": "888-549-1922",
"fax_number": "252-752-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S HERLONG AVE",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321158",
"telephone_number": "803-329-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMS",
"first_name": "SCARLETT",
"middle_name": "JUSTINE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-11",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "100040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SCARLETT",
"last_name": "BLAKE",
"middle_name": "JUSTINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rock Hill, SC
- Alexia Abraham
- Abram Home Health LLC
- Abrams Patel Cohen and Associates Inc
- Lisa Abrams IX
- Mark Jeffrey Abrams
- Susan Abril
- Abundant Life Home Care LLC
- Abundant Life Home Care Services LLC
- Access Chiropractic Center LLC
- Ace Medical Group PLLC
All providers in Rock Hill, SC · Certified Registered Nurse Anesthetist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.