Individual provider Active NPI

Joe Parker Tait, CRNA

  • Certified Registered Nurse Anesthetist
  • Lufkin, TX
National Provider Identifier
1629059548
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
47271 Issued in TX
Practice address
1201 W Frank Ave
Lufkin, TX 75904-3357
Phone
(936) 639-7900
NPI assigned
Nov 8, 2005
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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 47271 TX Primary
Registered Nurse 163W00000X 68603-02995 LA
Registered Nurse 163W00000X 670098 TX

Addresses

Primary practice location

1201 W Frank Ave
Lufkin, TX 75904-3357

Mailing address

419 PR 7028
Jefferson, TX 75657-5938

Other identifiers 1

IdentifierTypeStateIssuer
1687243MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019000930 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890756332 Reassigns benefits to 2 organizations
Practice locations: Marshall, TX

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grasshopper Anesthesia Services PLLCGroup PAC ID 3072882315, 70 clinicians

Practice addresses (Care Compare)

703 E Marshall Ave
Suite 2000
Longview, TX 75601-5500
Phone (903) 927-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
68603-02995LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Good Shepherd Medical Center CurrentSince Sep 1, 2017 Accepting new patients
Christus Good Shepherd Medical Center Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2017 Accepting new patients
Grasshopper Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2022 Accepting new patients
Anesthesia Providers of East Texas, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Pinecrest Eye Center, Inc Past Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered PastSince Mar 5, 2012 Accepting new patients
Winston E Moore MD Past Accepting new patients
Marshall Anesthesia Services, PA Nurse Anesthetist, Certified Registered PastSince Jan 5, 2015 Accepting new patients
Tandem Anesthesia LLC Nurse Anesthetist, Certified Registered PastSince Aug 9, 2015 Accepting new patients
Dreamworks Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Laser & Cataract Center of Shreveport LLC Past Accepting new patients
Anderson County Anesthesia Associates, PA Past Accepting new patients

Locations

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

3302 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 564-2411

3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1629059548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 PR 7028",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "756575938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043357",
            "telephone_number": "936-639-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIT",
        "first_name": "JOE",
        "middle_name": "PARKER",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "47271",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "68603-02995",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "670098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1687243",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.