John C. Hartley, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

627353 Issued in TX

Practice address

5916 Sicilian Cir
Plano, TX 75093-7016

Phone

(972) 948-0698

Fax

(972) 312-8765

NPI assigned

Jul 15, 2005

Last updated

Sep 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Keller, TX
  • NPI 1588931174

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1780683433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 SICILIAN CIR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937016",
            "telephone_number": "972-948-0698",
            "fax_number": "972-312-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 SICILIAN CIR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937016",
            "telephone_number": "972-948-0698",
            "fax_number": "972-312-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "JOHN",
        "middle_name": "C.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "627353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149479101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather B Harshman, BCBA
• Rebecca Hart, BCBA
• Brandon Richard Harthan, PA-C
• Madeline Hartke, PT, DPT
• Ashley Hartley, OTR
• Cindy Hartley, PA, M.D.
• Virginia Hartmann
• Rebecca Hartmeier, CD
• Elizabeth Ann Harton, B.C.B.A
• Cara Farrington Hartoon, DPT

• Certified Registered Nurse Anesthetist in Plano, TX
• Providers in Plano, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.

Verify at the official NPI Registry.