Active NPI
Audrey L. Culbertson, CRNA
- Certified Registered Nurse Anesthetist
- Lebanon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024166232
- Practice address
- Carrol and Tate Street
Lebanon, VA 24266 - Phone
- (276) 883-8330
- Fax
- (276) 889-4336
- NPI assigned
- Jul 26, 2005
- Last updated
- Jul 8, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024166232 | VA | Primary |
| Anesthesiology Physician | 207L00000X | 0024166232 | VA |
Addresses
Primary practice location
Carrol and Tate Street
Lebanon, VA 24266
Mailing address
Carrol and Tate Street
Lebanon, VA 24266
Phone (276) 883-8330
Other names 1
- Audrey Ratliff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 15TH St NW
Norton, VA 24273-1616
Phone (276) 679-9600
16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000
6801 Gov GC Peery Hwy
Richlands, VA 24641-2194
Phone (276) 596-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9245 | TN | MD | Clinical Social Worker |
| 0024166232 | VA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Russell County Medical Center Inc | Past | Accepting new patients |
Locations
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Abingdon, VA
- NPI 1508830993
-
dba Russell County ER Dept
- Emergency Medicine Physician
- Lebanon, VA
- NPI 1801099197
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lonesome Pine Hospital
- General Acute Care Hospital
- Big Stone Gap, VA
- NPI 1801826912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1629078209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARROL AND TATE STREET",
"city": "LEBANON",
"state": "VA",
"postal_code": "24266",
"telephone_number": "276-883-8330",
"fax_number": "276-889-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARROL AND TATE STREET",
"city": "LEBANON",
"state": "VA",
"postal_code": "24266",
"telephone_number": "276-883-8330",
"fax_number": "276-889-4336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULBERTSON",
"first_name": "AUDREY",
"middle_name": "L.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024166232",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0024166232",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUDREY",
"last_name": "RATLIFF",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lebanon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.