Individual provider Active NPI

Amelia McCain Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Florissant, MO
National Provider Identifier
1750339347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
02057215 Issued in MO
Practice address
15655 91St Ave
Florissant, MO 63034-2148
Phone
(314) 830-2674
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 9

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.

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
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
02057215MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Novamed Eye Surgery Center of North County, LLC Past Accepting new patients
Gulf Shore Anesthesia Associates PA Past Accepting new patients
Forest Park Anesthesia, Inc Past Accepting new patients
Bay Area Anesthesia Associates Past Accepting new patients
St Johns Regional Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients
Brigham Anesthesia South LLC PastSince Jun 1, 2004 Accepting new patients
St John'S Regional Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients
Midwest Anesthesia Inc. Past Accepting new patients
Mercy Hospital Jefferson Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 02057215 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

15655 91St Ave
Florissant, MO 63034-2148

Mailing address

15655 91St Ave
Florissant, MO 63034-2148
Phone (314) 830-2674

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
028159OtherAANA

Other names 1

NPPES NPI Registry
  • Amelia McCain Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750339347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 91ST AVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342148",
            "telephone_number": "314-830-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 91ST AVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342148",
            "telephone_number": "314-830-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMELIA",
        "middle_name": "MCCAIN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "02057215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANA",
            "identifier": "028159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "MCCAIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florissant, MO

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.