Active NPI
Avantika Cadambi, CRNA
- Certified Registered Nurse Anesthetist
- Keller, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 051958
- Practice address
- 957 Monarch Way
Keller, TX 76248-5266 - Phone
- (817) 562-4879
- NPI assigned
- Dec 28, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 617986 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 051958 | TX | Primary |
Addresses
Primary practice location
957 Monarch Way
Keller, TX 76248-5266
Mailing address
PO Box 11219
Fort Worth, TX 76110-0219
Phone (817) 294-7444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031031-09 | Medicaid | TX | |
| 003103107 | Medicaid | TX | |
| 8473UA | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1545 E Southlake Blvd
Southlake, TX 76092-6422
Phone (817) 748-8784
2704 N Galloway Ave
Suite 102
Mesquite, TX 75150-6379
Phone (972) 961-7171
2727 E Lemmon Ave
Dallas, TX 75204-2833
Phone (214) 443-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51958 | TX | MD | Pharmacist |
| 051958 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearwater Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Alliance Anesthesiology Associates, LP | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Alliance Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sundance Anesthesia PA | Past | Accepting new patients | |
| Sheridan Healthcare of North Texas PA | Past | Accepting new patients | |
| Apex Anesthesia Consultants, PLLC | Past | Accepting new patients |
Locations
3301 S 14th St
Ste 16180
Abilene, TX 79605
3107 W Camp Wisdom Rd
Ste 189
Dallas, TX 75237
Phone (214) 331-2922
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
6551 Harris Pkwy
Ste 100
Fort Worth, TX 76132
Phone (817) 346-3800
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171
515 S Nolen Dr
Southlake, TX 76092
Phone (817) 912-1999
1980 E State Highway 114
Southlake, TX 76092
Phone (817) 329-2700
Organizations & group practices 10
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.
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Mesquite, TX
- NPI 1558180083
-
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
- NPI 1538170485
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Beaumont, TX
- NPI 1548817471
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1376592329
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1962770404
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1124201827
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1760428361
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1538142088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1811974009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11219",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761100219",
"telephone_number": "817-294-7444",
"fax_number": "817-294-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 MONARCH WAY",
"city": "KELLER",
"state": "TX",
"postal_code": "762485266",
"telephone_number": "817-562-4879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADAMBI",
"first_name": "AVANTIKA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "617986",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "051958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0031031-09",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003103107",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8473UA",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.