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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-060588 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cullman Regional Pain Services LLC | Current |
Accepting new patients | |
| Anesthesia Services of Decatur PC | Current |
Accepting new patients | |
| Crna Services of DGH | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Cullman Regional Anesthesia Services LLC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Brandon Chatman
- Katherine Leigh Chauvin
- Gunter Chenoweth
- David Alexander Cherry
- Sarah Cherry
- Childhaven, Inc.
- Chiropractic Arts LLC
- Thomas Stephen Christian
- Jenna Ciriello
- Tonya Clark
All providers in Cullman, AL · Certified Registered Nurse Anesthetist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2010. 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.