Active NPI
Susan Esther Bruce, CRNA
- Certified Registered Nurse Anesthetist
- Arp, TX
National Provider Identifier
1457433047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 531189
- Practice address
- 14994 E Lake Cir
Arp, TX 75750-9781 - Phone
- (903) 859-3403
- Fax
- (903) 859-3403
- NPI assigned
- Oct 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 531189 | TX | Primary |
Addresses
Primary practice location
14994 E Lake Cir
Arp, TX 75750-9781
Mailing address
14994 E Lake Cir
Arp, TX 75750-9781
Phone (903) 859-3403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 531189 | Other | TX | TEXAS STATE NURSING LICEN |
Other names 1
- Mrs. Susan Esther Bruce
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Texas Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| East Texas Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Etmc Crna Services
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1497804371
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457433047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14994 E LAKE CIR",
"city": "ARP",
"state": "TX",
"postal_code": "757509781",
"telephone_number": "903-859-3403",
"fax_number": "903-859-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14994 E LAKE CIR",
"city": "ARP",
"state": "TX",
"postal_code": "757509781",
"telephone_number": "903-859-3403",
"fax_number": "903-859-3403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "SUSAN",
"middle_name": "ESTHER",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "531189",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE NURSING LICEN",
"identifier": "531189",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "BRUCE",
"middle_name": "ESTHER",
"prefix": "MRS.",
"credential": "CRNA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Arp, TX
Sources for this page
- 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.