Stephanie L Wyatt, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-108167 Issued in AL

Practice address

1919 Oxmoor Rd
Suite 111
Birmingham, AL 35209-3502

Phone

(800) 242-1131

Fax

(517) 787-7365

NPI assigned

Mar 24, 2010

Last updated

Mar 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tuscaloosa Anesthesia Associates LLCGroup PAC ID 8628426178, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tuscaloosa Anesthesia Associates LLC

  • Anesthesiology Physician
  • Tuscaloosa, AL
  • NPI 1346934429
  Medicare reassignment Care Compare group NPD
• Southern Perioperative Services P C

  • Anesthesiology Physician
  • Hoover, AL
  • NPI 1740233394
  Medicare reassignment NPD

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1548584212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "800-516-5315",
            "fax_number": "517-787-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 OXMOOR RD",
            "address_2": "SUITE 111",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093502",
            "telephone_number": "800-242-1131",
            "fax_number": "517-787-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-108167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Wun
• Jared Wunderlich
• Matthew Jacob Wurst Jr., MD
• Phillip Byers Wyatt, DPT, MD
• Shelley Nicole Wyatt, OTR/L
• Cade William Wyble, MD
• Daniel Ray Wyers, MSN, CRNP, PMHNP-BC
• Douglas Wylie, PHARMD
• Kimberly Wynn, M.S., CCC-SLP
• Konnica Wynn

• Certified Registered Nurse Anesthetist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.