Individual provider Active NPI

Anita Trent Degler, CRNA

  • Certified Registered Nurse Anesthetist
  • Johns Creek, GA
National Provider Identifier
1669441861
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN037348 Issued in GA
Practice address
6335 Hospital Pkwy
Dept 1029
Johns Creek, GA 30097-1549
Phone
(404) 778-8311
Fax
(770) 495-1581
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN037348 GA Primary

Addresses

Primary practice location

6335 Hospital Pkwy
Dept 1029
Johns Creek, GA 30097-1549

Mailing address

6335 Hospital Pkwy
Dept 1029
Johns Creek, GA 30097-1549
Phone (404) 778-8311

Other identifiers 1

IdentifierTypeStateIssuer
000550327MedicaidGA

Other names 1

  • Anita Diane Degler Other name

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

State licenses

LicenseStateTypeSpecialty
RN037348GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockdale Anesthesia Services, P.C. PastSince Mar 1, 2003 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1669441861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 HOSPITAL PKWY",
            "address_2": "DEPT 1029",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971549",
            "telephone_number": "404-778-8311",
            "fax_number": "770-495-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 HOSPITAL PKWY",
            "address_2": "DEPT 1029",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971549",
            "telephone_number": "404-778-8311",
            "fax_number": "770-495-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGLER",
        "first_name": "ANITA",
        "middle_name": "TRENT",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN037348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000550327",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "DEGLER",
            "middle_name": "DIANE",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.