Individual provider Active NPI

Annie Malone Siqueira, CRNA

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1609148048
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-144155 Issued in AL
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1527227MedicaidTN
4316382OtherTNBCBS OF TN

Other names 1

  • Annie Katherine Malone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120220000944 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173781317 Reassigns benefits to 1 organization
I20150223001621 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173781317 Reassigns benefits to 5 organizations
I20250210002054 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173781317 Reassigns benefits to 3 organizations

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
Anesthesia Associates of East Alabama LLCGroup PAC ID 5395768451, 50 clinicians
Elite Anesthesia Solutions LLCGroup PAC ID 6305263815, 17 clinicians
Hospitalist Medicine Physicians of Georgia - TCS, PCGroup PAC ID 3971024910, 112 clinicians

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

LicenseStateTypeSpecialty
16377TNMDPhysical Therapist
1-144155ALMDCertified Registered Nurse Anesthetist
APN16377TNMDCertified Registered Nurse Anesthetist
RN185301TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Georgia - TCS, PC CurrentSince Jun 27, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 1, 2017 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Oct 16, 2024 Accepting new patients
Amsol Anesthetists of Georgia LLC-Hughston Surgical Center Nurse Anesthetist, Certified Registered CurrentSince May 30, 2023 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Elite Anesthesia Solutions, LLC CurrentSince Mar 1, 2026 Accepting new patients
Anesthesia Associates of East Alabama LLC CurrentSince Apr 1, 2019 Accepting new patients
University of Alabama at Birmingham Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2014 Accepting new patients
University of Alabama at Birmingham CurrentSince Oct 1, 2014 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Apr 1, 2013 Accepting new patients
Amsol Anesthetists of Georgia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 30, 2023 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 4

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": "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.

Verify at the official NPI Registry.