Active NPI
Terri L Haney, CRNA
- Certified Registered Nurse Anesthetist
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704104516
- Practice address
- 1500 East Medical Center Dr
Ann Arbor, MI 48109-0048 - Phone
- (734) 936-4280
- NPI assigned
- Mar 14, 2006
- Last updated
- Jul 8, 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 | 4704104516 | MI | Primary |
Addresses
Primary practice location
1500 East Medical Center Dr
Ann Arbor, MI 48109-0048
Mailing address
3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4167611 | Medicaid | MI | |
| 4441068 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amtx Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1090 Experiment Station Rd
Unit 529
Watkinsville, GA 30677
Phone (706) 621-4108
800 Quail Creek Dr
Ste 102
Amarillo, TX 79124
Phone (806) 367-8537
950 N 14th St
Ste 100
Beaumont, TX 77702
Phone (409) 833-5555
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
3610 24th St
Lubbock, TX 79410
Phone (806) 793-3141
2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171
1015 W Medical Center Blvd
Ste 1200
Webster, TX 77598
Phone (281) 554-3494
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Amarillo, TX
- NPI 1649779703
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Flower Mound, TX
- NPI 1114270931
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Beaumont, TX
- NPI 1548817471
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700854965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481090048",
"telephone_number": "734-936-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANEY",
"first_name": "TERRI",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704104516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4167611",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4441068",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.