Active NPI
Gene Marie Sperduti, CRNA
- Certified Registered Nurse Anesthetist
- Denton, TX
National Provider Identifier
1609967397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0033624
- Practice address
- 3000 N Interstate 35
Denton, TX 76201-5119 - Phone
- (817) 294-7444
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0033624 | TX | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 463952 | TX |
Addresses
Primary practice location
3000 N Interstate 35
Denton, TX 76201-5119
Mailing address
PO Box 2626
Fort Worth, TX 76113-2626
Phone (817) 294-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110811001 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0033624 | TX | MD | Certified Registered Nurse Anesthetist |
| 463952 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PRG Dallas ASC, LLC | Past | Accepting new patients | |
| AIDS Arms, Inc. | Past | Accepting new patients | |
| Premier Pain Care PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Dallas, TX
- NPI 1841986999
-
- Pain Medicine Physician
- Denton, TX
- NPI 1912120841
-
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1871529388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1609967397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2626",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761132626",
"telephone_number": "817-294-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 N INTERSTATE 35",
"city": "DENTON",
"state": "TX",
"postal_code": "762015119",
"telephone_number": "817-294-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERDUTI",
"first_name": "GENE MARIE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "0033624",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "463952",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110811001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.