Individual provider Active NPI

Herbert Harb, CRNA

  • Certified Registered Nurse Anesthetist
  • Murfreesboro, TN
National Provider Identifier
1609829589
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN56547 Issued in TN
Practice address
301 N University St
Ste 104
Murfreesboro, TN 37130-3900
Phone
(615) 396-4643
Fax
(615) 396-6748
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN56547 TN Primary

Addresses

Primary practice location

301 N University St
Ste 104
Murfreesboro, TN 37130-3900

Mailing address

PO Box 1252
Murfreesboro, TN 37133-1252
Phone (615) 396-4643

Other identifiers 4

IdentifierTypeStateIssuer
4182572OtherTNBCBS EFFECTIVE 5/1/08
3076776OtherTNBLUE CROSS BLUE SHIELD
430010064OtherTNRR MEDICARE
3606168MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN56547TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Murfreesboro Anesthesia Group, P.a. Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1609829589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1252",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371331252",
            "telephone_number": "615-396-4643",
            "fax_number": "615-396-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N UNIVERSITY ST",
            "address_2": "STE 104",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303900",
            "telephone_number": "615-396-4643",
            "fax_number": "615-396-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARB",
        "first_name": "HERBERT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN56547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS EFFECTIVE 5/1/08",
            "identifier": "4182572",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3076776",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "430010064",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3606168",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.