Individual provider Active NPI

Catherine B Wagner, CRNA

  • Certified Registered Nurse Anesthetist
  • Henrico, VA
National Provider Identifier
1568450047
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024166044 Issued in VA
Practice address
7640 E Parham Rd
Henrico, VA 23294-4300
Phone
(804) 285-4763
Fax
(804) 288-8946
NPI assigned
Oct 10, 2005
Last updated
Jul 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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 0024166044 VA Primary

Addresses

Primary practice location

7640 E Parham Rd
Henrico, VA 23294-4300

Mailing address

PO Box 17978
Richmond, VA 23226-7978
Phone (804) 288-4453

Other identifiers 1

IdentifierTypeStateIssuer
010086051MedicaidVA

Other names 1

  • Catherine B Stalford Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000684 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375524978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950

7700 E Parham Rd
Henrico, VA 23294-4301
Phone (804) 747-5600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince Jun 1, 2021 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Jun 1, 2021 Accepting new patients
Hanover Anesthesia Group,Inc Past Accepting new patients
Tuckahoe Anesthesia Associates, P.C. Past Accepting new patients
Advanced Ambulatory Anesthesia, Inc Past Accepting new patients
Anesthesia Associates of Richmond, Inc Past Accepting new patients

Locations

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

5855 Bremo Rd
Ste 100
Richmond, VA 23226
Phone (804) 288-6258

7640 E Parham Rd
Richmond, VA 23294
Phone (804) 285-4763

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

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1568450047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17978",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232267978",
            "telephone_number": "804-288-4453",
            "fax_number": "804-288-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 E PARHAM RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944300",
            "telephone_number": "804-285-4763",
            "fax_number": "804-288-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CATHERINE",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024166044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010086051",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "STALFORD",
            "middle_name": "B",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.