Vicki Lynn Cheshire, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Cullman, AL

NPI 1407923980 · NPPES record last updated Oct 4, 2010

Key facts

NPI
1407923980
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
1-060588 (AL)
Practice address
1403 Wall Street
Cullman, AL 35055-0000
Phone
(256) 734-9472
Fax
(256) 734-9272
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Alabama School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cullman Regional Pain Services LLC (16 clinicians)

Practice addresses (Care Compare)

1403 Wall St
Cullman, AL 35055-6022
Phone (256) 736-2811

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070327000331 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032213376 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-060588ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cullman Regional Pain Services LLC Current
since Jun 1, 2024
Accepting new patients
Anesthesia Services of Decatur PC Current
since Jun 1, 2009
Accepting new patients
Crna Services of DGH Nurse Anesthetist, Certified Registered Current
since Jul 13, 2009
Accepting new patients
Cullman Regional Anesthesia Services LLC Current
since Apr 1, 2019
Accepting new patients

Locations

1403 Wall St
Cullman, AL 35055
Phone (256) 734-9472

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

1912 AL Highway 157
Ste 100
Cullman, AL 35058
Phone (256) 737-2235

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-060588 AL Yes

Addresses

Primary practice location

1403 Wall Street
Cullman, AL 35055-0000

Mailing address

PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 4, 2010.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1407923980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021547",
            "telephone_number": "660-826-5960",
            "fax_number": "660-826-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 WALL STREET",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350550000",
            "telephone_number": "256-734-9472",
            "fax_number": "256-734-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESHIRE",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-060588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

All providers in Cullman, AL · Certified Registered Nurse Anesthetist in Alabama

Sources for this page

Verify at the official NPI Registry.