Organization Active NPI

Sunrise Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Richardson, TX
National Provider Identifier
1447846720
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SUNRISE ANESTHESIA LLC
Practice address
3009 E Renner Rd Ste 100
Richardson, TX 75082-3572
Phone
(469) 589-1871
NPI assigned
Dec 21, 2020
Last updated
Dec 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Authorized official

Name
Cathy BedollaNPI 1477963577
Title
Owner/Auth Official
Phone
(214) 680-5054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

3009 E Renner Rd Ste 100
Richardson, TX 75082-3572

Mailing address

PO Box 1889
Muncie, IN 47308-1889
Phone (765) 284-0493

National Provider Directory

National Provider Directory

Locations

960 Ohio Dr
Ste 100
Plano, TX 75093
Phone (972) 599-1447

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1447846720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1889",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473081889",
            "telephone_number": "765-284-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 E RENNER RD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823572",
            "telephone_number": "469-589-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "BEDOLLA",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OWNER/AUTH OFFICIAL",
        "authorized_official_telephone_number": "214-680-5054"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.