Tandy Gustin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0001194334 Issued in VA

Practice address

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709

Phone

(703) 391-3129

Fax

(703) 391-3006

NPI assigned

Feb 4, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, VA, MT3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Billings Clinic Hospital Hospital, Billings, MT, CCN 270004

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.

• Billings Clinic

  • Emergency Care Clinic/Center
  • Billings, MT
  • NPI 1326104845
  Medicare reassignment Care Compare group NPD
• Ambulatory Anesthesia Associates LLC

  • Anesthesiology Physician
  • Alexandria, VA
  • NPI 1720192230

  DC, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ambulatory Anesthesia Services Inc

  • Anesthesiology Physician
  • Fairfox, VA
  • NPI 1548363740

  DC

  Medicare reassignment NPD
• Northstar Anesthesia of Virginia, LLC

  • Anesthesiology Physician
  • Alexandria, VA
  • NPI 1194488791

  DC

  Medicare reassignment NPD
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714
  NPD
• Billings Clinic

  • Pediatrics Physician
  • Bozeman, MT
  • NPI 1902340821
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Billings Cinic

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1215660840
  Care Compare affiliation
• Billings Clinic

  • Orthopaedic Surgery Physician
  • Billings, MT
  • NPI 1003953589

  Hospital

  Care Compare affiliation
• Billings Clinic

  • Family Medicine Physician
  • Billings, MT
  • NPI 1033164447

  Hospital

  Care Compare affiliation
• Billings Clinic

  • Endocrinology, Diabetes & Metabolism Physician
  • Billings, MT
  • NPI 1124310537

  Hospital

  Care Compare affiliation
• Billings Clinic

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1265478291
  Care Compare affiliation
• Billings Clinic

  • Internal Medicine Physician
  • Bozeman, MT
  • NPI 1265648455

  Hospital

  Care Compare affiliation
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714

  Hospital

  Care Compare affiliation
• Billings Clinic

  • Internal Medicine Physician
  • Billings, MT
  • NPI 1871548289

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1588903199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE RD",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332921",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JOSEPH SIEWICK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331709",
            "telephone_number": "703-391-3129",
            "fax_number": "703-391-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTIN",
        "first_name": "TANDY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0001194334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588903199",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nupur Gupta, PSYD
• Praveen Kumar Gupta, M.D.
• Priya Gupta, D.M.D.
• Sammy Gurman, DDS
• Gurpreet S Bajwa MD PA
• Brett Gustman, ATC
• Jesus Gutierrez
• Michelle Elizabeth Gutierrez, LCSW
• Yesenia Jacqueline Gutierrez, MS.ED
• Konstantin Sergeyevich Gutnichenko

• Certified Registered Nurse Anesthetist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.