Active NPI
Freida Carrolyn Bates, CRNA
- Certified Registered Nurse Anesthetist
- Sugar Land, TX
National Provider Identifier
1477556033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 452164
- Practice address
- 1518 Ralston Branch Way
Sugar Land, TX 77479 - Phone
- (936) 328-9990
- NPI assigned
- May 27, 2005
- 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 | 452164 | TX | Primary |
Addresses
Primary practice location
1518 Ralston Branch Way
Sugar Land, TX 77479
Mailing address
100 Medical Dr
Borger, TX 79007-7579
Phone (936) 328-9990
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83815U | Other | TX | BCBSTX |
| 8490UB | Other | TX | BCBS |
| 003492803 | Medicaid | TX | |
| 163477609 | Medicaid | TX | |
| 8754UA | Other | TX | BCBSTX |
| 163477602 | Medicaid | TX | |
| 86620U | Other | TX | BCBSTX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 452164 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Edward Medical Services, Inc. | Past | Accepting new patients | |
| Katy West Houston Anesthesia PA | Past | Accepting new patients | |
| Dreamworks Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Clinical Partners PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Clinical Partners, P.a.-Pain | Past | Accepting new patients | |
| Texas Anesthesia Specialists PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Memorial Medical Center of East Texas | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1215995816
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Uvalde, TX
- NPI 1518135045
-
- Certified Registered Nurse Anesthetist
- Lufkin, TX
- NPI 1376581025
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Houston, TX
- NPI 1700875069
-
- Anesthesiology Physician
- Lufkin, TX
- NPI 1992745368
-
- Anesthesiology Physician
- El Paso, TX
- NPI 1710124490
Nurse Anesthetist, Certified Registered
-
- Primary Care Clinic/Center
- Van Buren, AR
- NPI 1588878466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1477556033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL DR",
"city": "BORGER",
"state": "TX",
"postal_code": "790077579",
"telephone_number": "936-328-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 RALSTON BRANCH WAY",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "77479",
"telephone_number": "936-328-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "FREIDA",
"middle_name": "CARROLYN",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "452164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "83815U",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8490UB",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003492803",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163477609",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8754UA",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163477602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "86620U",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.