Coleen Prevoznik Alvarez, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

89658 Issued in PA

Practice address

1245 S Cedar Crest Blvd Ste 301
Allentown, PA 18103-6258

Phone

(610) 402-8896

Fax

(610) 402-9029

NPI assigned

Dec 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 9

Other names 1

• Coleen Prevoznik-Alvarez Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

College Heights Endoscopy Center LLCGroup PAC ID 2062468507, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• College Heights Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Allentown, PA
  • NPI 1578525515
  Medicare reassignment Care Compare group NPD
• Lehigh Valley Anesthesia Services, P. C.

  • Certified Registered Nurse Anesthetist
  • Allentown, PA
  • NPI 1730174731

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Professional Anesthesia Services of North America P.C.

  • Anesthesiology Physician
  • Bethlehem, PA
  • NPI 1972994820
  Medicare reassignment
• College Heights Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Allentown, PA
  • NPI 1780686808
  NPD

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1437428547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S CEDAR CREST BLVD STE 301",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036258",
            "telephone_number": "610-402-8896",
            "fax_number": "610-402-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S CEDAR CREST BLVD STE 301",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036258",
            "telephone_number": "610-402-8896",
            "fax_number": "610-402-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "COLEEN",
        "middle_name": "PREVOZNIK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN578028",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "89658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12320856",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "2678586",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9028831",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "1437428547",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2678586",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1605007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND. BLUE CROSS",
            "identifier": "3871473000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL ADVANTAGE",
            "identifier": "50105449",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027798420001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLEEN",
            "last_name": "PREVOZNIK-ALVAREZ",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John A Altobelli, MD
• Altomare and Associates
• Chaya Alvarado, OTD, OTR/L
• Stephen P Alvarado, M.D.
• Belguida Alvarez, MA
• Raquel Alvarez, LMSW
• Amanda Sellers, Psy.D., LLC
• Hamed Amani, MD
• Suzanne Dixon Amant, PA- C
• Jocelyn Amaya, M.D.

• Certified Registered Nurse Anesthetist in Allentown, PA
• Providers in Allentown, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.