Individual provider Active NPI

Amber J. Fairbetter, CRNA

  • Certified Registered Nurse Anesthetist
  • Durham, NC
National Provider Identifier
1508022641
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
205000 Issued in NC
Practice address
Erwin Rd
Durham, NC 27710-0001
Phone
(919) 684-3595
NPI assigned
Jul 29, 2008
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 205000 NC Primary

Addresses

Primary practice location

Erwin Rd
Durham, NC 27710-0001

Mailing address

Erwin Rd
Durham, NC 27710-0001
Phone (919) 684-3595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080919000106 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163599929 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, 212 clinicians

Practice addresses (Care Compare)

321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 757-5100

Hospital & facility affiliations

  • Caldwell Memorial Hospital Hospital, Lenoir, NC, CCN 340041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205000NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 21, 2017 Accepting new patients
Caldwell Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2022 Accepting new patients
Duke University Health System, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 21, 2008 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Current Accepting new patients
Watauga Medical Center, Inc. Current Accepting new patients
Watauga Medical Center Inc CurrentSince Nov 21, 2017 Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Jul 8, 2022 Accepting new patients
Watauga Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 21, 2017 Accepting new patients
Duke University Health System, Inc. CurrentSince Jul 21, 2008 Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Nov 21, 2017 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Current Accepting new patients

Locations

338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

Erwin Rd
Durham, NC 27710
Phone (336) 768-3240

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

Organizations & group practices 22

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.

View all 22

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1508022641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-684-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-684-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRBETTER",
        "first_name": "AMBER",
        "middle_name": "J.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "205000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

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.