Active NPI
Deanna C. Clinton
- Certified Registered Nurse Anesthetist
- Sunrise, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 679157
- Practice address
- 1613 Harrison Pkwy
#200
Sunrise, FL 33323-2853 - Phone
- (954) 838-2371
- NPI assigned
- Feb 2, 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 | 679157 | TX | Primary |
Addresses
Primary practice location
1613 Harrison Pkwy
#200
Sunrise, FL 33323-2853
Mailing address
PO Box 452319
Sunrise, FL 33345-2319
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181072303 | Medicaid | TX | |
| 8542UA | Other | TX | BCBS |
| 181072305 | Medicaid | TX | |
| 181012304 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 679157 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | 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 |
| University of Texas Southwestern Medical Center at Dallas | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Austin Gastroenterology Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519
6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700
5151 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-3000
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100
701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190
515 S Nolen Dr
Southlake, TX 76092
Phone (817) 912-1999
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Austin, TX
- NPI 1427405810
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- 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
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1114992161
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1700858107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452319",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333452319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 HARRISON PKWY",
"address_2": "#200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232853",
"telephone_number": "954-838-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINTON",
"first_name": "DEANNA",
"middle_name": "C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "679157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181072303",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8542UA",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181072305",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181012304",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.