Active NPI
Hannah R Reid, CRNA
- Certified Registered Nurse Anesthetist
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-113056
- Practice address
- 1450 Ross Clark Cir
Dothan, AL 36301-4765 - Phone
- (334) 793-5105
- Fax
- (334) 671-5073
- NPI assigned
- Jan 26, 2012
- Last updated
- Jan 26, 2012
- 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 | 1-113056 | AL | Primary |
Addresses
Primary practice location
1450 Ross Clark Cir
Dothan, AL 36301-4765
Mailing address
1118 Ross Clark Cir
Suite 700
Dothan, AL 36301-3001
Phone (334) 793-5105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-113056 | Other | AL | AL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-113056 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Medcore Associates, PLLC | Current | Accepting new patients | |
| Houston County Healthcare Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pathology Laboratory Associates | Current | Accepting new patients |
Locations
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1118 Ross Clark Cir
Ste 700
Dothan, AL 36301
Phone (334) 793-5105
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.
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-
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Nurse Anesthetist, Certified Registered
-
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- Dothan, AL
- NPI 1992524607
-
- Anatomic Pathology & Clinical Pathology Physician
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- NPI 1134190648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1447521117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 ROSS CLARK CIR",
"address_2": "SUITE 700",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013001",
"telephone_number": "334-793-5105",
"fax_number": "334-671-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363014765",
"telephone_number": "334-793-5105",
"fax_number": "334-671-5073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "HANNAH",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-26",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-113056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL LICENSE",
"identifier": "1-113056",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.