Individual provider Active NPI

Rebecca Lu Husseinzadeh, RN, CRNA

  • Certified Registered Nurse Anesthetist
  • Cincinnati, OH
National Provider Identifier
1720028681
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN189163 Issued in OH
Practice address
2000 Joseph E. Sanker Boulevard
The Urology Center
Cincinnati, OH 45212
Phone
(513) 841-7600
Fax
(513) 841-7601
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN189163 OH Primary

Addresses

Primary practice location

2000 Joseph E. Sanker Boulevard
The Urology Center
Cincinnati, OH 45212

Mailing address

200 Northland Boulevard
Outpatient Anesthesia Specialist
Cincinnati, OH 45246
Phone (513) 204-5696

Other identifiers 2

IdentifierTypeStateIssuer
100387990MedicaidIN
74252792MedicaidKY

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)
Enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Perioperative Medical Consutants Inc Past Accepting new patients
Universtiy Anesthesia Assoc., Inc. Past Accepting new patients
Outpatient Anesthesia Specialists PastSince Jan 1, 2008 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1720028681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTHLAND BOULEVARD",
            "address_2": "OUTPATIENT ANESTHESIA SPECIALIST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45246",
            "telephone_number": "513-204-5696",
            "fax_number": "877-284-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 JOSEPH E. SANKER BOULEVARD",
            "address_2": "THE UROLOGY CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45212",
            "telephone_number": "513-841-7600",
            "fax_number": "513-841-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEINZADEH",
        "first_name": "REBECCA",
        "middle_name": "LU",
        "name_prefix": "Ms.",
        "credential": "RN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN189163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100387990",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74252792",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.