Active NPI
Sharon Lyden, CRNA
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 246061
- Practice address
- 4916 Overton PLZ
Fort Worth, TX 76109-4415 - Phone
- (817) 529-1142
- Fax
- (817) 334-0235
- NPI assigned
- Jul 20, 2006
- 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 | 246061 | TX | Primary |
Addresses
Primary practice location
4916 Overton PLZ
Fort Worth, TX 76109-4415
Mailing address
4916 Overton PLZ
Fort Worth, TX 76109-4415
Phone (817) 529-1142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109793303 | 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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246061 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia III PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia II PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest Fort Worth Anesthesiology Consultants, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994
11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738
7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400
3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Burleson, TX
- NPI 1477066405
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1356968952
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
- NPI 1083605828
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1639199037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4916 OVERTON PLZ",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094415",
"telephone_number": "817-529-1142",
"fax_number": "817-334-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4916 OVERTON PLZ",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094415",
"telephone_number": "817-529-1142",
"fax_number": "817-334-0235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYDEN",
"first_name": "SHARON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "246061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109793303",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.