Active NPI
Michelle Marie Gaines, CRNA
- Certified Registered Nurse Anesthetist
- Georgetown, TX
National Provider Identifier
1396707964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9227492
- Practice address
- 1004 S Rock St
Georgetown, TX 78626-5837 - Phone
- (512) 374-1876
- NPI assigned
- Apr 6, 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 | ARNP9227492 | FL | Primary |
Addresses
Primary practice location
1004 S Rock St
Georgetown, TX 78626-5837
Mailing address
11509 Via Grande Dr
Austin, TX 78739-1922
Phone (512) 466-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306940100 | Medicaid | FL |
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 |
|---|---|---|---|
| South Austin Anesthesiology, PA | Past | Accepting new patients | |
| Easter Medical Management Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Easter Anesthesia Staffing Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Luling, TX
- NPI 1659319580
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Georgetown, TX
- NPI 1003158627
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Austin, TX
- NPI 1609888676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1396707964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11509 VIA GRANDE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787391922",
"telephone_number": "512-466-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 S ROCK ST",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786265837",
"telephone_number": "512-374-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9227492",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306940100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.