Individual provider Active NPI

Daniel J Sherman, CRNA

  • Certified Registered Nurse Anesthetist
  • Huntsville, AL
National Provider Identifier
1457524001
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-102653 Issued in AL
Practice address
911 Big Cove Rd SE
Huntsville, AL 35801-3750
Phone
(256) 265-8120
Fax
(256) 265-8969
NPI assigned
Apr 3, 2008
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 27931 TN
Certified Registered Nurse Anesthetist 367500000X 1-102653 AL Primary

Addresses

Primary practice location

911 Big Cove Rd SE
Huntsville, AL 35801-3750

Mailing address

PO Box 1389
Huntsville, AL 35807-0389
Phone (256) 265-8120

Other identifiers 3

IdentifierTypeStateIssuer
102275MedicaidAL
515-47971OtherALBC BS OF ALABAMA
P00825812OtherALRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171010000965 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284703232 Reassigns benefits to 2 organizations
I20201005000055 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284703232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (865) 546-8040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-102653ALMDCertified Registered Nurse Anesthetist
27931TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Tennessee, P.C. CurrentSince Jul 15, 2023 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 17, 2017 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 17, 2017 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Crestwood Healthcare LP Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1457524001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1389",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358070389",
            "telephone_number": "256-265-8120",
            "fax_number": "256-265-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BIG COVE RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013750",
            "telephone_number": "256-265-8120",
            "fax_number": "256-265-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-03",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "27931",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-102653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102275",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF ALABAMA",
            "identifier": "515-47971",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00825812",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.