Susan Diane Phillips, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

526485 Issued in TX

Practice address

1441 N Beckley Ave
Dallas, TX 75203-1201

Phone

(214) 947-1881

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Garland Anesthesia

  • Certified Registered Nurse Anesthetist
  • Richardson, TX
  • NPI 1437285525

  Nurse Anesthetist, Certified Registered

  NPD
• Anesthesia Consultants of Dallas LLP

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1225298516
  NPD (past)
• Apex Anesthesia Consultants, PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1124201827
  NPD (past)
• Dallas Anesthesia & Pain Medicine Specialists LLP

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1346400645
  NPD (past)
• Mesquite Professional Anesthesia, PA

  • Anesthesiology Physician
  • Mesquite, TX
  • NPI 1831209949
  NPD (past)
• Sundance Anesthesia PA

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1760428361
  NPD (past)
• Veritas Anesthesia, LLP

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1881620557
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1528089000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 BROADACRES LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760164018",
            "telephone_number": "817-472-0717",
            "fax_number": "817-472-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-947-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "526485",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP",
            "identifier": "126033312",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CR00C23M6",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roselyn Phillips
• Sara J. Phillips, FNP
• Sarah Elizabeth Phillips, AUD
• Sarah Ellenwyn Phillips
• Savanna Phillips, ARNP
• Sydney F Phillips, DPT
• Taylor Phillips, DC
• Terri Denise Phillips, CRNA
• Tiffany S Phillips
• Timothy Ray Phillips

• Certified Registered Nurse Anesthetist in Dallas, TX
• Providers in Dallas, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.