Individual provider Active NPI

Susanne Renee Owens, CRNA

  • Certified Registered Nurse Anesthetist
  • Memphis, MO
National Provider Identifier
1811259955
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
146012 Issued in MO
Practice address
450 E Sigler Ave
Memphis, MO 63555-1726
Phone
(660) 465-8511
NPI assigned
Jun 14, 2012
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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 146012 MO Primary

Addresses

Primary practice location

450 E Sigler Ave
Memphis, MO 63555-1726

Mailing address

6000 Hospital Dr
P O Box 551
Hannibal, MO 63401-6887
Phone (573) 248-5115

Other practice location 1

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-5115

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
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Dec 14, 2015 Accepting new patients
Scotland County Memorial Hospital Current Accepting new patients
Musc Community Physicians CurrentSince Feb 13, 2022 Accepting new patients
Resource Anesthesiology Associates of Mo LLC CurrentSince Nov 16, 2017 Accepting new patients
Missouri Delta Medical Center CurrentSince Dec 7, 2014 Accepting new patients
Missouri Delta Medical Center CurrentSince Dec 7, 2014 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 23, 2020 Accepting new patients
Musc Community Physicians Current Accepting new patients
Musc Community Physicians CurrentSince Feb 13, 2022 Accepting new patients

Locations

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2200 Union Ave
Memphis, TN 38104
Phone (901) 274-5813

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

935 Wayne Rd
Savannah, TN 38372
Phone (731) 925-4954

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1811259955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 HOSPITAL DR",
            "address_2": "P O BOX 551",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016887",
            "telephone_number": "573-248-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E SIGLER AVE",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635551726",
            "telephone_number": "660-465-8511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-248-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "SUSANNE",
        "middle_name": "RENEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "146012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.