Active NPI
Mary K Pribble, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP145671
- Practice address
- 6606 LBJ Fwy Ste 200
Dallas, TX 75240-6524 - Phone
- (972) 715-5000
- NPI assigned
- Jan 7, 2013
- 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 | 17143 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | AP145671 | TX | Primary |
Addresses
Primary practice location
6606 LBJ Fwy Ste 200
Dallas, TX 75240-6524
Mailing address
PO Box 840853 Suite 435
Dallas, TX 75284-2013
Phone (972) 715-5000
Other names 1
- Mary Grant
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Oak Lawn Ave
Suite 200
Dallas, TX 75219-4265
Phone (214) 252-3501
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP145671 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia Consultants, LLP | Current | Accepting new patients | |
| Endoscopy Center of St Thomas LLC | Past | Accepting new patients | |
| Cardiovascular Anesthesiologists PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500
3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800
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
- Dallas, TX
- NPI 1902859697
-
- Critical Care Medicine (Anesthesiology) Physician
- Nashville, TN
- NPI 1912953381
Nurse Anesthetist, Certified Registered
-
dba NGS Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Nashville, TN
- NPI 1326176215
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City McKinney
- General Acute Care Hospital
- McKinney, TX
- NPI 1437102639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1649517988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853 SUITE 435",
"city": "DALLAS",
"state": "TX",
"postal_code": "752842013",
"telephone_number": "972-715-5000",
"fax_number": "615-292-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 LBJ FWY STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406524",
"telephone_number": "972-715-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIBBLE",
"first_name": "MARY",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "17143",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP145671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "GRANT",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
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- Price Proctor & Associates LLP
- Price Proctor & Associates PLLC
- Morgan Price-Brown
- Alyssa Dawn Price, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.