Individual provider Active NPI

Twyla Ann Landess, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Charlotte, MI
National Provider Identifier
1457397333
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704156537 Issued in MI
Practice address
321 E Harris St
Charlotte, MI 48813-1629
Phone
(517) 543-1050
Fax
(517) 543-0875
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704156537 MI Primary

Addresses

Primary practice location

321 E Harris St
Charlotte, MI 48813-1629

Mailing address

321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 543-1050

Other identifiers 2

IdentifierTypeStateIssuer
4308754070OtherMIBLUE CROSS BLUE SHIELD
102971323MedicaidMI

Other names 1

  • Miss Twyla Ann Burks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120720000513 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355437823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Digestive Disease PAGroup PAC ID 3375714769, 8 clinicians

Practice addresses (Care Compare)

1520 Taylor St
Suite 200
Columbia, SC 29201-2901
Phone (803) 509-5710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704156537MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
SC Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2012 Accepting new patients
Carolina Digestive Disease PA CurrentSince Nov 1, 2025 Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered Past Accepting new patients
JGC Solutions, LLC Past Accepting new patients
Palmetto Endoscopy Suite, LLC PastSince Nov 1, 2025 Accepting new patients

Locations

1090 Experiment Station Rd
Unit 529
Watkinsville, GA 30677
Phone (706) 621-4108

1520 Taylor St
Ste 200
Columbia, SC 29201
Phone (803) 509-5710

1520 Taylor St
Columbia, SC 29201
Phone (803) 254-8449

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0900850

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1457397333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E HARRIS ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131629",
            "telephone_number": "517-543-1050",
            "fax_number": "517-543-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E HARRIS ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131629",
            "telephone_number": "517-543-1050",
            "fax_number": "517-543-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDESS",
        "first_name": "TWYLA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704156537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4308754070",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102971323",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TWYLA",
            "last_name": "BURKS",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.