Individual provider Active NPI

Robert Lanier Whitehurst, CRNA

  • Certified Registered Nurse Anesthetist
  • Raleigh, NC
National Provider Identifier
1770590010
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
152932 Issued in NC
Practice address
#136 4441 Six Forks Road
Suite 106
Raleigh, NC 27609-5729
Phone
(919) 434-9350
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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 152932 NC Primary

Addresses

Primary practice location

#136 4441 Six Forks Road
Suite 106
Raleigh, NC 27609-5729

Mailing address

12553 Honeychurch St
Raleigh, NC 27614-8483
Phone (919) 434-9350

Other identifiers 1

IdentifierTypeStateIssuer
8051981MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001610 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335125079 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitehurst Anesthesia P aGroup PAC ID 2264602382, 6 clinicians

Practice addresses (Care Compare)

5356 Cypress LN
Raleigh, NC 27609-4110
Phone (252) 559-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Whitehurst Anesthesia P a Nurse Anesthetist, Certified Registered CurrentSince Sep 6, 2006 Accepting new patients
Vidant Medical Group LLC CurrentSince Sep 23, 2009 Accepting new patients
Nash Hospitals Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2004 Accepting new patients
Moye Medical Endoscopy Center LLC CurrentSince Aug 4, 2024 Accepting new patients
Raleigh Medical Group, PA CurrentSince Aug 1, 2010 Accepting new patients
Nash Hospitals Inc CurrentSince May 1, 2004 Accepting new patients
Triangle Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered PastSince Jul 27, 2010 Accepting new patients

Locations

209 S Main St
Poplar Bluff, MO 63901

100 Parkway Office Ct
Ste 108
Cary, NC 27518
Phone (919) 436-4277

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

521 Moye Blvd
#C
Greenville, NC 27834
Phone (252) 744-1400

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

701 Doctors Dr
Ste N
Kinston, NC 28501
Phone (252) 559-2200

2601 Lake Dr
Ste 201
Raleigh, NC 27607
Phone (919) 783-4888

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Organizations & group practices 7

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1770590010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12553 HONEYCHURCH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148483",
            "telephone_number": "919-434-9350",
            "fax_number": "919-453-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#136 4441 SIX FORKS ROAD",
            "address_2": "SUITE 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095729",
            "telephone_number": "919-434-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHURST",
        "first_name": "ROBERT",
        "middle_name": "LANIER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "152932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051981",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.

Verify at the official NPI Registry.