Crystal Anderson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209008026 Issued in IL

Practice address

2320 E 93Rd St
Chicago, IL 60617-3983

Phone

(773) 967-2000

Fax

(773) 967-4212

NPI assigned

Mar 15, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Physician Anesthesia Associates, S.C.

  • Anesthesiology Physician
  • Elk Grove Village, IL
  • NPI 1376629550
  NPD (past)
• Southeast Anesthesia Consultants LTD

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1669417440

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1609190024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 S PRAIRIE AVE",
            "address_2": "UNIT 2003",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053403",
            "telephone_number": "773-447-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 E 93RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173983",
            "telephone_number": "773-967-2000",
            "fax_number": "773-967-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CRYSTAL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209008026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Melitta Anderson, M.D.
• Christopher Anderson, M.ED, ATC
• Clare Elizabeth Anderson, MD
• Cory Anderson
• Courtney Mae Anderson, PT, DPT
• Dana Irene Anderson, MD
• Dana Marie Anderson, PMHNP-BC
• Daniela Rose Anderson, M.D.
• David Karl Anderson, PSY.D.
• David Roy Anderson, PH.D.

• Certified Registered Nurse Anesthetist in Chicago, IL
• Providers in Chicago, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.