Whitney Birch, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Conway, AR
NPI 1407419690 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1407419690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 120418 (AR)
- Practice address
- 1555 Exchange Ave
Conway, AR 72032-7824 - Phone
- (501) 202-2093
- Fax
- (501) 202-6316
- NPI assigned
- Apr 15, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Health Group
Practice addresses (Care Compare)
3333 Springhill Dr
Suite a
North Little Rock, AR 72117-2922
Phone (501) 202-2093
Hospital & facility affiliations
- Baptist Health Medical Center North Little Rock
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190708001244 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6901131309 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120418 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Current |
Accepting new patients | |
| Arkansas Health Group | Current |
Accepting new patients |
Locations
1555 Exchange Ave
Conway, AR 72032
Phone (501) 202-2300
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
3333 Springhill Dr
Ste A
North Little Rock, AR 72117
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 120418 | AR | Yes |
Addresses
Primary practice location
1555 Exchange Ave
Conway, AR 72032-7824
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7215
Other providers in Conway, AR
- Jennifer Biggers
- Billy R McBay MD PA
- Mason Douglas Binns
- Birch Tree Communities Inc
- Birch Tree Communities, Inc.
- Bird and Bear Medical, LLC
- Olivia Grace Bird
- Birth by Design Birth Services
- Birth Roots, LLC
- Lauren Bisbee
All providers in Conway, AR · Certified Registered Nurse Anesthetist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. 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.