Active NPI
Tanya Marye Carter, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
National Provider Identifier
1720311517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP122644
- Practice address
- 6606 LBJ Fwy
Suite 200
Dallas, TX 75240-6533 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Sep 10, 2009
- Last updated
- Aug 16, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28142173 | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704288950 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | AP122644 | TX | Primary |
Addresses
Primary practice location
6606 LBJ Fwy
Suite 200
Dallas, TX 75240-6533
Mailing address
5327 N Central Expy
Ste 200
Dallas, TX 75205-3345
Phone (972) 715-1999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 325700803 | Medicaid | TX | |
| 8562UJ | Other | TX | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28142173 | IN | MD | Certified Registered Nurse Anesthetist |
| 4704288950 | MI | MD | Certified Registered Nurse Anesthetist |
| AP122644 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of Dallas LLP | Past | Accepting new patients | |
| Dallas Anesthesia & Pain Medicine Specialists LLP | Past | Accepting new patients | |
| La Porte County Anesthesia Associates LLC | Past | Accepting new patients | |
| Veritas Anesthesia, LLP | Past | Accepting new patients | |
| Great Lakes Anesthesia Indiana and Michigan, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1225245368
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1225298516
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1346400645
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1881620557
-
- Anesthesiology Physician
- Sturgis, MI
- NPI 1891069605
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Michigan City, IN
- NPI 1477553634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1720311517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5327 N CENTRAL EXPY",
"address_2": "STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752053345",
"telephone_number": "972-715-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6606 LBJ FWY",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752406533",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "TANYA",
"middle_name": "MARYE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28142173",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704288950",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP122644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "325700803",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8562UJ",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.