Active NPI
Susan Rae Gilmer, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
National Provider Identifier
1669522140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP103393
- Practice address
- 1500 Citywest Blvd
Ste. 300
Houston, TX 77042-2300 - Phone
- (713) 620-4000
- Fax
- (713) 458-4229
- NPI assigned
- Jan 10, 2007
- 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 | AP103393 | TX | Primary |
Addresses
Primary practice location
1500 Citywest Blvd
Ste. 300
Houston, TX 77042-2300
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109948301 | Medicaid | TX | |
| 109948304 | Medicaid | TX | |
| 430027396 | Other | TX | RR MEDICARE |
| 88603C | Other | TX-BLUE SHIELD | |
| 430027397 | Other | TX | RAILROAD MEDICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1669522140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CITYWEST BLVD",
"address_2": "STE. 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770422300",
"telephone_number": "713-620-4000",
"fax_number": "713-458-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMER",
"first_name": "SUSAN",
"middle_name": "RAE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP103393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109948301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109948304",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "430027396",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX-BLUE SHIELD",
"identifier": "88603C",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430027397",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.