Heather Laconya Veal Fields, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Valley, AL
NPI 1700069887 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1700069887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 1-078798 (AL)
- Practice address
- 4800 48TH St
Valley, AL 36854-3666 - Phone
- (334) 756-1848
- Fax
- (334) 756-1854
- NPI assigned
- Dec 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wilson Anesthesia Associates, LLC
Practice addresses (Care Compare)
2430 Brookstone Centre Pkwy
Columbus, GA 31904-4501
Phone (706) 494-7700
820 W Washington St
Eufaula, AL 36027-1822
Phone (334) 688-7000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080211000191 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8022191345 | Reassigns benefits to 1 organization |
| I20230123001988 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8022191345 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-078798 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761
2430 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 494-7700
2000 Hamilton Rd
Columbus, GA 31904
Phone (706) 324-4891
4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-078798 | AL | Yes |
Addresses
Primary practice location
4800 48TH St
Valley, AL 36854-3666
Mailing address
PO Box 661495
Birmingham, AL 35266-1495
Phone (205) 979-5882
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00692162 | Other | AL | RAILROAD PROVIDER # |
| 735502860A | Medicaid | GA | |
| 1700069887 | Other | GA | BC BS OF GEORGIA |
| 100166 | Medicaid | AL | |
| 515-45747 | Other | AL | BC BS OF AL |
Other names
- Heather Veal Fields
Other providers in Valley, AL
- Carla A Etherton Moore
- Jason Anthony Etherton
- David G Fagan
- FDC Inc
- FDC, Inc
- Mitchel Lewis Galishoff
- Rutilio Garcia
- Wendy Leigh Gray
- Michael Grossman
- Alex Jay Hadaway
All providers in Valley, AL · Certified Registered Nurse Anesthetist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.