Susan Annicelli, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

108867 Issued in NC

Practice address

USA Meddac, Rwbahc
2240E. Winrow Ave
Fort Huachuca, AZ 85613-7079

Phone

(520) 533-9026

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457418071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 GRIERSON AVE",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "85613",
            "telephone_number": "520-533-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA MEDDAC, RWBAHC",
            "address_2": "2240E. WINROW AVE",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856137079",
            "telephone_number": "520-533-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNICELLI",
        "first_name": "SUSAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "108867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahc R W Bliss-Huachuca (DoD FT HUACHUCA ePhcy)
• Ahc R W Bliss-Huachuca
• Paul Mark Allred, MD
• Ashley Victoria Alvidrez, DPT
• Charles Lee Anderson, DDS
• Patrick James Arbuckle, DDS, MS, ABGD
• Kathleen Archer, LPN
• Michelle Arrieta, LPN
• Michael Guy Augustine, PC
• Aric Austin, PA-C

• Certified Registered Nurse Anesthetist in Fort Huachuca, AZ
• Providers in Fort Huachuca, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.