Active NPI
Sally Range, CRNA
- Certified Registered Nurse Anesthetist
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704155743
- Practice address
- 36475 5 Mile Rd
Livonia, MI 48154-1971 - Phone
- (734) 655-2022
- NPI assigned
- Jun 29, 2006
- Last updated
- Sep 25, 2018
- 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 | 4704155743 | MI | Primary |
Addresses
Primary practice location
36475 5 Mile Rd
Livonia, MI 48154-1971
Mailing address
47953 Park Lane CT
Canton, MI 48187-5469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104199983 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 E Jolly Rd
Lansing, MI 48910-8542
Phone (517) 272-1063
4851 E Pickard St
Mt. Pleasant Surgery Center
Mount Pleasant, MI 48859-2078
Phone (213) 499-1159
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704155743 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Monaco Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sparrow Carson Hospital | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
4851 E Pickard St
Mt Pleasant, MI 48858
Phone (989) 772-3009
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Alma, MI
- NPI 1568125177
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
-
dba University of Michigan Health-Sparrow
- Anesthesiology Physician
- Carson City, MI
- NPI 1396789798
Nurse Anesthetist, Certified Registered
-
dba University of Michigan Health-Sparrow
- Cardiovascular Disease Physician
- Carson City, MI
- NPI 1063245694
-
dba University of Michigan Health-Sparrow
- General Acute Care Hospital
- Carson City, MI
- NPI 1336103043
-
dba University of Michigan Health-Sparrow
- Emergency Medicine Physician
- Carson City, MI
- NPI 1942229828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1861420937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47953 PARK LANE CT",
"city": "CANTON",
"state": "MI",
"postal_code": "481875469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36475 5 MILE RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541971",
"telephone_number": "734-655-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANGE",
"first_name": "SALLY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704155743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104199983",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.