Active NPI
Tina Palman, CRNA
- Certified Registered Nurse Anesthetist
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024168648
- Practice address
- 1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453 - Phone
- (540) 741-7614
- NPI assigned
- Jan 7, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1011482 | DC | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024168648 | VA | Primary |
Addresses
Primary practice location
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Mailing address
3100 Spring Forest Rd
Suite 130
Raleigh, NC 27616-2880
Phone (919) 882-0705
Other names 1
- Tina M Granger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Georgetown University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
Hospital & facility affiliations
- Inova Fair Oaks Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1011482 | DC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Inova Cares - Community | Current | Accepting new patients | |
| Northern Virginia Anesthesia Assoc. | Past | Accepting new patients |
Locations
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
Organizations & group practices 3
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
- Woodbridge, VA
- NPI 1033214234
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1710217138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD",
"address_2": "SUITE 130",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "919-882-0705",
"fax_number": "919-873-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SAM PERRY BLVD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014453",
"telephone_number": "540-741-7614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMAN",
"first_name": "TINA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-07",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1011482",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024168648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "GRANGER",
"middle_name": "M",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.