Individual provider Active NPI

Tonja Annettee Vazquez, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1497977995
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
676424 Issued in TX
Practice address
17110 Dallas Pkwy
Suite # 125
Dallas, TX 75248-1167
Phone
(972) 234-4740
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 676424 TX Primary

Addresses

Primary practice location

17110 Dallas Pkwy
Suite # 125
Dallas, TX 75248-1167

Mailing address

4420 Young Dr
Carrollton, TX 75010-1144
Phone (972) 394-2767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050521000077 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769423516 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SP Pain Partners PLLCGroup PAC ID 8022360437, 2 clinicians

Practice addresses (Care Compare)

1705 Prince William LN
Frisco, TX 75034-6931
Phone (469) 559-5880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
676424TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Dallas Pain Management Center, P.a. CurrentSince Nov 3, 2019 Accepting new patients
Eagle Anesthesia PLLC CurrentSince May 29, 2017 Accepting new patients
Anesthesiology Consultants of North Texas PA Nurse Anesthetist, Certified Registered CurrentSince Mar 24, 2020 Accepting new patients
Preston Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 10, 2017 Accepting new patients
Reliance Anesthesia Group, PLLC CurrentSince Mar 24, 2020 Accepting new patients
MJB Physician Services PLLC CurrentSince Apr 24, 2019 Accepting new patients
Richard L. Vera MD, PA CurrentSince Jul 1, 2012 Accepting new patients
SP Pain Partners, PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 27, 2023 Accepting new patients
Anesthesiologists Associated PC Past Accepting new patients
East Rehabilitation PA Past Accepting new patients

Locations

150 Bluff Ave
North Augusta, SC 29841
Phone (706) 736-1830

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

6901 Snider Plz
Ste 300
Dallas, TX 75205
Phone (214) 363-2418

11500 State Highway 121
Ste 420
Frisco, TX 75035
Phone (469) 252-4777

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

1615 Lancaster Dr
Ste 150
Grapevine, TX 76051
Phone (817) 421-0279

4833 Medical Center Dr
Ste 6E
McKinney, TX 75069
Phone (972) 316-3344

6505 W Park Blvd
Ste 306
Plano, TX 75093
Phone (469) 682-5218

3012 Communications Pkwy
Ste 200
Plano, TX 75093
Phone (469) 616-1922

5316 W Plano Pkwy
Plano, TX 75093
Phone (972) 620-1700

9720 Coit Rd
Ste 220341
Plano, TX 75025

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

1701 Ohio Dr
Plano, TX 75093
Phone (214) 291-3000

811 S Central Expy
Ste 103
Richardson, TX 75080
Phone (972) 310-7121

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1497977995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 YOUNG DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101144",
            "telephone_number": "972-394-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 DALLAS PKWY",
            "address_2": "SUITE # 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481167",
            "telephone_number": "972-234-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "TONJA",
        "middle_name": "ANNETTEE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "676424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.