Individual provider Active NPI

Tami A Windham, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Mobile, AL
National Provider Identifier
1861639908
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1049988 Issued in AL
Practice address
3719 Dauphin St
Mobile, AL 36608-1753
Phone
(251) 342-3000
Fax
(251) 342-3043
NPI assigned
Jan 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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 1049988 AL Primary

Addresses

Primary practice location

3719 Dauphin St
Mobile, AL 36608-1753

Mailing address

PO Box 851417
Mobile, AL 36685-1417
Phone (251) 342-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090506000148 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628126349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1049988ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Anesthesia, P.C. CurrentSince Jan 16, 2009 Accepting new patients
Sheridan Anesthesia Services of Alabama, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3610 Springhill Memorial Dr N
Mobile, AL 36608
Phone (251) 344-9630

3610 Springhill Memorial Dr N
#D
Mobile, AL 36608
Phone (251) 342-3000

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1861639908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851417",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366851417",
            "telephone_number": "251-342-3000",
            "fax_number": "251-342-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-342-3000",
            "fax_number": "251-342-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "TAMI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1049988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.