Active NPI
Annie Malone Siqueira, CRNA
- Certified Registered Nurse Anesthetist
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-144155
- Practice address
- 619 19TH St S RM Jt845
Birmingham, AL 35249-1900 - Phone
- (205) 979-5882
- Fax
- (205) 979-1248
- NPI assigned
- Feb 1, 2012
- Last updated
- Apr 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN16377 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | RN185301 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 1-144155 | AL | Primary |
Addresses
Primary practice location
619 19TH St S RM Jt845
Birmingham, AL 35249-1900
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1527227 | Medicaid | TN | |
| 4316382 | Other | TN | BCBS OF TN |
Other names 1
- Annie Katherine Malone
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AL, GA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 749-3411
2616 Warm Springs Rd
Suite B
Columbus, GA 31904-5688
Phone (706) 507-2200
4800 48TH St
Valley, AL 36854-3666
Phone (334) 756-9180
619 19TH St S
Birmingham, AL 35246-0001
Phone (205) 934-3460
710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16377 | TN | MD | Physical Therapist |
| 1-144155 | AL | MD | Certified Registered Nurse Anesthetist |
| APN16377 | TN | MD | Certified Registered Nurse Anesthetist |
| RN185301 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Georgia - TCS, PC | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Amsol Anesthetists of Georgia LLC-Hughston Surgical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| Elite Anesthesia Solutions, LLC | Current | Accepting new patients | |
| Anesthesia Associates of East Alabama LLC | Current | Accepting new patients | |
| University of Alabama at Birmingham | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Amsol Anesthetists of Georgia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiologists Associated PC | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
619 19th St S
Birmingham, AL 35249
619 19th St S
Rm JT845
Birmingham, AL 35249
Phone (205) 934-7072
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000
4800 48th St
Valley, AL 36854
Phone (334) 756-1401
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
2616 Warm Springs Rd
Ste B
Columbus, GA 31904
Phone (706) 243-0016
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
2515 Desales Ave
Chattanooga, TN 37404
Phone (423) 648-6672
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Interoperability endpoints
- asiqueira@direct.uabmedicine.org
Organizations & group practices 13
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.
-
- Anesthesiology Physician
- Opelika, AL
- NPI 1245201771
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Anesthesiology Physician
- Columbus, GA
- NPI 1033926191
-
dba UAB Health Center Montgomery
- Internal Medicine Physician
- Montgomery, AL
- NPI 1184738478
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1649224775
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Certified Registered Nurse Anesthetist
- Birmingham, AL
- NPI 1356674360
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1164708400
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1043278443
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba East Alabama Medical Center
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
-
dba Northside Medical Center
- General Acute Care Hospital
- Columbus, GA
- NPI 1407082308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1609148048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55310",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555310",
"telephone_number": "205-731-9701",
"fax_number": "205-297-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 19TH ST S RM JT845",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352491900",
"telephone_number": "205-979-5882",
"fax_number": "205-979-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIQUEIRA",
"first_name": "ANNIE",
"middle_name": "MALONE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-01",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN16377",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN185301",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-144155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1527227",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4316382",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNIE",
"last_name": "MALONE",
"middle_name": "KATHERINE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.