Victoria A Portman, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704235858 Issued in MI

Practice address

5301 E Huron River Dr
MC 69504
Ypsilanti, MI 48197-1051

Phone

(734) 712-2419

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, OH2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anupama Shah MD PLCGroup PAC ID 1850579855, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vportman1054284@direct.hfhs.org

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.

• Anupama Shah MD, PLC

  • Pain Medicine (Anesthesiology) Physician
  • Monroe, MI
  • NPI 1679864623
  Medicare reassignment Care Compare group NPD
• Challenge Anesthesia Staffing LLC

  • Certified Registered Nurse Anesthetist
  • Hillsdale, MI
  • NPI 1275302051

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Pinnacle Anesthesia PLLC

  • Anesthesiology Physician
  • Macomb, MI
  • NPI 1295301133
  Medicare reassignment NPD
• Wa Foote Memorial Hospital, Inc

  • Certified Registered Nurse Anesthetist
  • Jackson, MI
  • NPI 1598776718

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Northstar Anesthesia of Michigan II PC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1437268026

  MI, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Promedica Central Physicians

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1043270150
  Medicare reassignment NPD
• W.a. Foote Memorial Hospital, Inc

  • Physician Assistant
  • Jackson, MI
  • NPI 1538606348
  NPD
• Promedica Central Physicians

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
  • NPI 1669068482
  NPD
• Saint Joseph Mercy Livingston Hospital

  • Certified Registered Nurse Anesthetist
  • Brighton, MI
  • NPI 1922127976

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Saint Joseph Mercy Saline Hospital

  • Certified Registered Nurse Anesthetist
  • Saline, MI
  • NPI 1760501621

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Stephen J. Watts, MD, PLLC

  • Gastroenterology Physician
  • Wyandotte, MI
  • NPI 1548352412
  NPD (past)
• Jennifer Sassi PA

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1619305067

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1417008152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 E HURON RIVER DR",
            "address_2": "MC 69504",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "734-712-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E HURON RIVER DR",
            "address_2": "MC 69504",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "734-712-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTMAN",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704235858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly M Popovich
• Addison M Popp
• Bryan Popp, M.D.
• Toanh Popp, M.D.
• Kelly Poppaw, PT, DPT
• Terese Louise Posh I, OTD
• Positive Vibrations LLC
• Katherine Jeane Potts, LMSW
• Gwendolyn Powell Dixon, LMSW
• Clara Adome Powell

• Certified Registered Nurse Anesthetist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.