Active NPI
Hazel Ruth Fletcher, CRNA
- Certified Registered Nurse Anesthetist
- Glen Rose, TX
National Provider Identifier
1841248044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 248905
- Practice address
- 1021 Holden St
Glen Rose, TX 76043-4937 - Phone
- (254) 897-2215
- NPI assigned
- May 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 248905 | TX | Primary |
Addresses
Primary practice location
1021 Holden St
Glen Rose, TX 76043-4937
Mailing address
PO Box 2626
Fort Worth, TX 76113-2626
Phone (817) 294-7444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002993605 | Medicaid | TX | |
| 00C38R | Other | TX | BCBSTX |
| 002993602 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1841248044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2626",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761132626",
"telephone_number": "817-294-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 HOLDEN ST",
"city": "GLEN ROSE",
"state": "TX",
"postal_code": "760434937",
"telephone_number": "254-897-2215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "HAZEL",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "248905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002993605",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "00C38R",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002993602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Rose, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.