Active NPI
Abigail Joanne Butorac, CRNA
- Certified Registered Nurse Anesthetist
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN10592
- Practice address
- 110 29TH Ave N
Suite 202
Nashville, TN 37203-1401 - Phone
- (615) 327-4304
- Fax
- (615) 327-7940
- NPI assigned
- Jun 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN10592 | TN | Primary |
| Pain Medicine Physician | 208VP0000X | 10592 | TN |
Addresses
Primary practice location
110 29TH Ave N
Suite 202
Nashville, TN 37203-1401
Mailing address
110 29TH Ave N
Suite 202
Nashville, TN 37203-1401
Phone (615) 327-4304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q008788 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.57 of 100
- Quality
- 59.49
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN10592 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Group, PC | Pain Medicine | Current | Accepting new patients |
Locations
890 N Bluejay Way
Gallatin, TN 37066
Phone (615) 329-9212
355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000
5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541
110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870
2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1760423115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 29TH AVE N",
"address_2": "SUITE 202",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031401",
"telephone_number": "615-327-4304",
"fax_number": "615-327-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 29TH AVE N",
"address_2": "SUITE 202",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031401",
"telephone_number": "615-327-4304",
"fax_number": "615-327-7940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTORAC",
"first_name": "ABIGAIL",
"middle_name": "JOANNE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN10592",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TN",
"license": "10592",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q008788",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.