Timothy Dale Devries, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R093520-1 Issued in MN

Practice address

491 Meadow Ridge LN
Hudson, WI 54016-8742

Phone

(715) 386-3449

NPI assigned

Feb 28, 2006

Last updated

Jul 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• American Anesthesiology of Minnesota, P.a.

  • Anesthesiology Physician
  • Minneapolis, MN
  • NPI 1588669840

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Certified Anesthesia Care, Co.

  dba Certified Anesthesia Care, Inc

  • Certified Registered Nurse Anesthetist
  • Stillwater, MN
  • NPI 1699736348

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1760458764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 MEADOW RIDGE LN",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168742",
            "telephone_number": "715-386-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 MEADOW RIDGE LN",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168742",
            "telephone_number": "715-386-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "TIMOTHY",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R093520-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Mae Deeg, D.D.S.
• Kelly L Delahunty, MD
• Raena Sue Deperry, AUD
• David Deuth, DO
• Chelsea Eileen Deutsch, LCSW
• Magdala Diersen
• Marie Dimenna
• Christina Dittrich, NP
• Pamela Donohoe, CAPSW LGSW
• Lori Elizabeth Dore, LPC

• Certified Registered Nurse Anesthetist in Hudson, WI
• Providers in Hudson, WI by specialty
• Certified Registered Nurse Anesthetist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.