Individual provider Active NPI

Christine Rose Edera, CRNA

  • Certified Registered Nurse Anesthetist
  • Frisco, TX
National Provider Identifier
1386793503
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
33299 Issued in TX
Practice address
7117 Fieldstone Dr
Frisco, TX 75034-5835
Phone
(832) 264-4219
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 33299 TX Primary

Addresses

Primary practice location

7117 Fieldstone Dr
Frisco, TX 75034-5835

Mailing address

7117 Fieldstone Dr
Frisco, TX 75034-5835
Phone (832) 264-4219

Other identifiers 3

IdentifierTypeStateIssuer
109834504OtherTXIN HARRIS - MEDICAID
002295602OtherTXOUT HARRIS - MEDICAID
81302UOtherTX-BLUE SHIELD

Other names 1

  • Miss Christine Rose Berlau Former name

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

State licenses

LicenseStateTypeSpecialty
33299TXMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1386793503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 FIELDSTONE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345835",
            "telephone_number": "832-264-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 FIELDSTONE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345835",
            "telephone_number": "832-264-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDERA",
        "first_name": "CHRISTINE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "33299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN HARRIS - MEDICAID",
            "identifier": "109834504",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT HARRIS - MEDICAID",
            "identifier": "002295602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX-BLUE SHIELD",
            "identifier": "81302U",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "BERLAU",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.