Active NPI
Anne M Sudduth, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, SC
National Provider Identifier
1801921168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 019491
- Practice address
- 1 Saint Francis Dr
Greenville, SC 29601-3955 - Phone
- (864) 675-4510
- NPI assigned
- Feb 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 019491 | SC | Primary |
Addresses
Primary practice location
1 Saint Francis Dr
Greenville, SC 29601-3955
Mailing address
130 Whittington Dr
Greenville, SC 29615-2675
Phone (864) 297-3774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19491 | Other | SC | AANA LICENSE |
| 15463 | Other | SC | STATE NURSING LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019491 | SC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1801921168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 WHITTINGTON DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296152675",
"telephone_number": "864-297-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT FRANCIS DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013955",
"telephone_number": "864-675-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDDUTH",
"first_name": "ANNE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "019491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA LICENSE",
"identifier": "19491",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE NURSING LICENSE",
"identifier": "15463",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.