Suzanne Mulvey, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

036231 Issued in PA

Practice address

423 3Rd Ave
Kingston, PA 18704-5809

Phone

(570) 331-0880

Fax

(570) 331-0220

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Professional Anesthesia Providers, PC

  • Anesthesiology Physician
  • Shavertown, PA
  • NPI 1437138294
  NPD (past)
• Professional Anesthesia Providers, PC

  • Certified Registered Nurse Anesthetist
  • Shavertown, PA
  • NPI 1578542403

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1871528141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1587",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040587",
            "telephone_number": "570-331-0880",
            "fax_number": "570-331-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 3RD AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045809",
            "telephone_number": "570-331-0880",
            "fax_number": "570-331-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVEY",
        "first_name": "SUZANNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "036231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "015228M49",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian J Morris, DPM
• Marguerite A Mosack, PHD
• Joseph Motzko, AU.D.
• Gianna Moulton, PA-C
• Anthony Mozeleski, ATC
• Devon Anna Munley, CRNP
• April Murphy, RDN, LDN
• Samantha Diane Mushak, PA-C
• My Choice Adult Day Center
• My Vive Health and Fitness Inc

• Certified Registered Nurse Anesthetist in Kingston, PA
• Providers in Kingston, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.