Active NPI
Whitney J Detwiler, CRNA
- Certified Registered Nurse Anesthetist
- Birmingham, AL
National Provider Identifier
1437474707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-101466
- Practice address
- 1201 11TH Ave S
Birmingham, AL 35205-3410 - Phone
- (205) 979-5882
- Fax
- (205) 979-1248
- NPI assigned
- Mar 30, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-101466 | AL | Primary |
Addresses
Primary practice location
1201 11TH Ave S
Birmingham, AL 35205-3410
Mailing address
PO Box 661495
Birmingham, AL 35266-1495
Phone (205) 979-5882
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511-04655 | Other | AL | BC BS OF AL |
| 119829 | Medicaid | AL | |
| 1437474707 | Other | AL | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100615000842 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2860522984 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory Anesthesia & Pain Medicine, P.C. | Current | Accepting new patients | |
| Radiologist @ Uab Highlands | Past | Accepting new patients | |
| Anesthesia Health Care Authority | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2621 19th St S
Homewood, AL 35209
Phone (205) 271-8019
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1154371839
AL
-
- Certified Registered Nurse Anesthetist
- Birmingham, AL
- NPI 1457317513
Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1700822178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1437474707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 661495",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352661495",
"telephone_number": "205-979-5882",
"fax_number": "205-979-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 11TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352053410",
"telephone_number": "205-979-5882",
"fax_number": "205-979-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETWILER",
"first_name": "WHITNEY",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-30",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-101466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF AL",
"identifier": "511-04655",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119829",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1437474707",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.