Individual provider Active NPI

Christina Stevens, CRNA

  • Certified Registered Nurse Anesthetist
  • Arlington, TX
National Provider Identifier
1508294836
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
DONT HAVE YET Issued in IL
Practice address
2000 East Lamar Blvd
Suite 400
Arlington, TX 76006
Phone
(219) 933-2022
Fax
(219) 852-2515
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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 DONT HAVE YET IL Primary

Addresses

Primary practice location

2000 East Lamar Blvd
Suite 400
Arlington, TX 76006

Mailing address

5061 N Ashland Ave
Apt 2
Chicago, IL 60640-2856
Phone (906) 869-6664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NY, MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140324001786 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173754744 Reassigns benefits to 1 organization
I20180813001205 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173754744 Reassigns benefits to 1 organization
I20210326000797 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173754744 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DONT HAVE YETILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Nurse Anesthetist, Certified Registered CurrentSince Jul 3, 2018 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 25, 2020 Accepting new patients
Northstar Anesthesia of Michigan PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 25, 2021 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 3, 2018 Accepting new patients
Primary Care Partners LLC Past Accepting new patients

Locations

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1508294836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 N ASHLAND AVE",
            "address_2": "APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402856",
            "telephone_number": "906-869-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 EAST LAMAR BLVD",
            "address_2": "SUITE 400",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76006",
            "telephone_number": "219-933-2022",
            "fax_number": "219-852-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CHRISTINA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "DONT HAVE YET",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.