Active NPI
Dionne Michelle Tyree, CRNA
- Certified Registered Nurse Anesthetist
- Petersburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024168660
- Practice address
- 200 Medical Park Blvd
Petersburg, VA 23805 - Phone
- (804) 765-5000
- NPI assigned
- Jan 26, 2010
- Last updated
- Apr 16, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024168660 | VA | Primary |
| Registered Nurse | 163W00000X | 0001138871 | VA |
Addresses
Primary practice location
200 Medical Park Blvd
Petersburg, VA 23805
Mailing address
3998 Fair Ridge Dr
Suite 300
Fairfax, VI 22033-2921
Phone (703) 295-9360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427389709 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001138871 | VA | MD | Registered Nurse |
| 0024168660 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Greensboro Anesthesia Specialists Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Richmond Gastroenterology Associates, Inc. | Current | Accepting new patients | |
| Sicuro Services Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
1714 E Hundred Rd
Ste 104
Chester, VA 23836
Phone (804) 681-0556
501 Rison St
Ste 130
Danville, VA 24541
Phone (434) 429-4290
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
8262 Atlee Rd
Mechanicsville, VA 23116
Phone (804) 746-6969
165 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 272-9146
215 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 497-4973
200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000
1600 Wilkes Ridge Dr
Ste 100
Richmond, VA 23233
Phone (703) 563-0042
2369 Staples Mill Rd
Ste 100
Richmond, VA 23230
Phone (804) 354-8818
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Certified Registered Nurse Anesthetist
- Chester, VA
- NPI 1073772612
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- North Chesterfield, VA
- NPI 1639127962
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Certified Registered Nurse Anesthetist
- Chester, VA
- NPI 1750102935
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1427389709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DR",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VI",
"postal_code": "220332921",
"telephone_number": "703-295-9360",
"fax_number": "703-766-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL PARK BLVD",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "23805",
"telephone_number": "804-765-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYREE",
"first_name": "DIONNE",
"middle_name": "MICHELLE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-26",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024168660",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001138871",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427389709",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
- Terry M Tuck, NP-BC
- Jennifer Woods Tunstall, LCSW
- Luke C Turner
- Onaje Ransom Turner, LCSW
- Joseph Tyler, RPH
- Uhs Petersburg Oud LLC (Foundations Health - Petersburg)
- Uhs Petersburg Oud LLC (Foundations Health - Petersburg)
- Unity Cares Group Home, LLC
- Unity Family Services, Inc
- Universal Contracting & Consulting, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.