Individual provider Active NPI

Daniel Joseph Puckett, CRNA

  • Certified Registered Nurse Anesthetist
  • Sheffield, AL
National Provider Identifier
1558463448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1090330 Issued in AL
Practice address
1300 S Montgomery Ave
Sheffield, AL 35660-6334
Phone
(256) 386-4005
Fax
(256) 386-4685
NPI assigned
Sep 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1090330 AL Primary

Addresses

Primary practice location

1300 S Montgomery Ave
Sheffield, AL 35660-6334

Mailing address

201 W Sheridan Ave
Muscle Shoals, AL 35661-3153
Phone (256) 381-5484

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061018000547 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062418825 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keller Anesthesia ServicesGroup PAC ID 4880065929, 18 clinicians
MSL Anesthesia Services LLCGroup PAC ID 5799151544, 6 clinicians

Practice addresses (Care Compare)

1300 S Montgomery Ave
Sheffield, AL 35660-6334
Phone (888) 829-0068

15155 Hwy 43
Russellville, AL 35653-1975
Phone (256) 332-1611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1090330ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Keller Anesthesia Services CurrentSince Oct 26, 2022 Accepting new patients
MSL Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 30, 2023 Accepting new patients
HH Health System - Shoals LLC Current Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558463448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W SHERIDAN AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613153",
            "telephone_number": "256-381-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S MONTGOMERY AVE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356606334",
            "telephone_number": "256-386-4005",
            "fax_number": "256-386-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1090330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.