Active NPI
Elizabeth S. Cross, CRNA
- Certified Registered Nurse Anesthetist
- Anderson, SC
National Provider Identifier
1679539548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1178
- Practice address
- 800 N Fant St
Anderson, SC 29621-5708 - Phone
- (864) 512-1890
- NPI assigned
- Apr 21, 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 | 1178 | SC | Primary |
Addresses
Primary practice location
800 N Fant St
Anderson, SC 29621-5708
Mailing address
800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-1417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN0963 | Medicaid | SC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1178 | SC | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1679539548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215708",
"telephone_number": "864-512-1417",
"fax_number": "864-512-1823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N FANT ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215708",
"telephone_number": "864-512-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "ELIZABETH",
"middle_name": "S.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "1178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN0963",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.