Stephanie B Poarch, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-102478 Issued in AL

Practice address

103 Helton CT
Florence, AL 35630-1464

Phone

(256) 760-0672

NPI assigned

Jan 13, 2009

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

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 and National Provider Directory roles.

• Blue Lake Health Alabama, LLC

  • Anesthesiology Physician
  • Florence, AL
  • NPI 1376266726
  Medicare reassignment NPD
• Keller Anesthesia Services

  • Anesthesiology Physician
  • Sheffield, AL
  • NPI 1356064844
  Medicare reassignment NPD

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1598902504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235022",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235022",
            "telephone_number": "334-386-2055",
            "fax_number": "334-396-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HELTON CT",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301464",
            "telephone_number": "256-760-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POARCH",
        "first_name": "STEPHANIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-102478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Fortenberry Phillips, PTA
• Richard Oliver Phillips, CPHT-ADV
• Phoenix Counseling and Resources, LLC
• Susan Portugues Pickett, RPH
• Pinnacle Medical Solutions LLC
• Pomc LLC
• Peter John Pons, MD
• Cara Pope, MD
• Crystal Porter, NP
• Braxton Posey, PHARMD

• Certified Registered Nurse Anesthetist in Florence, AL
• Providers in Florence, 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 Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.