Active NPI
Taylor Extine, RN
- Certified Registered Nurse Anesthetist
- Owens Cross Roads, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-171968
- Practice address
- 4719 Slalom Run SE
Owens Cross Roads, AL 35763-8712 - Phone
- (256) 541-6493
- NPI assigned
- Aug 31, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-171968 | AL | Primary |
Addresses
Primary practice location
4719 Slalom Run SE
Owens Cross Roads, AL 35763-8712
Mailing address
4719 Slalom Run SE
Owens Cross Roads, AL 35763-8712
Phone (256) 541-6493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-8120
Hospital & facility affiliations
- Huntsville Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-171968 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntsville Hospital Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673
8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012
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.
-
- Certified Registered Nurse Anesthetist
- Huntsville, AL
- NPI 1851321079
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1619645025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4719 SLALOM RUN SE",
"city": "OWENS CROSS ROADS",
"state": "AL",
"postal_code": "357638712",
"telephone_number": "256-541-6493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4719 SLALOM RUN SE",
"city": "OWENS CROSS ROADS",
"state": "AL",
"postal_code": "357638712",
"telephone_number": "256-541-6493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXTINE",
"first_name": "TAYLOR",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-171968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owens Cross Roads, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.