Active NPI
Alan Rouse, CRNA
- Medical-Surgical Registered Nurse
- Angleton, TX
National Provider Identifier
1487682217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 224168
- Practice address
- 146 E Hospital Dr
Suite 205
Angleton, TX 77515-4169 - Phone
- (979) 848-3068
- Fax
- (979) 849-1423
- NPI assigned
- Jun 29, 2006
- Last updated
- Jul 1, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 224168 | TX | Primary |
Addresses
Primary practice location
146 E Hospital Dr
Suite 205
Angleton, TX 77515-4169
Mailing address
146 E Hospital Dr
Suite 205
Angleton, TX 77515-4169
Phone (979) 848-3068
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430042026 | Other | TX | UNSPECIFIED RAILROAD MEDICARE |
| 120029704 | Medicaid | TX |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20371 | TX | MD | Dental Hygienist |
| 224168 | TX | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazoria County Anesthesia P.a. | Medical-Surgical | Past | Accepting new patients |
| Manjit S Randhawa DO PA | 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.
-
- Medical-Surgical Registered Nurse
- Angleton, TX
- NPI 1144241977
-
- Pain Medicine (Anesthesiology) Physician
- Angleton, TX
- NPI 1235165820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1487682217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 E HOSPITAL DR",
"address_2": "SUITE 205",
"city": "ANGLETON",
"state": "TX",
"postal_code": "775154169",
"telephone_number": "979-848-3068",
"fax_number": "979-849-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 E HOSPITAL DR",
"address_2": "SUITE 205",
"city": "ANGLETON",
"state": "TX",
"postal_code": "775154169",
"telephone_number": "979-848-3068",
"fax_number": "979-849-1423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSE",
"first_name": "ALAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "TX",
"license": "224168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNSPECIFIED RAILROAD MEDICARE",
"identifier": "430042026",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120029704",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Angleton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.