Active NPI
Annette N Storm, CRNA, MNA
- Certified Registered Nurse Anesthetist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 17893
- Practice address
- 7 Independence PT Ste 300
Greenville, SC 29615-4569 - Phone
- (864) 522-3700
- Fax
- (864) 522-3705
- NPI assigned
- Dec 31, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 89907 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 17893 | SC | Primary |
Addresses
Primary practice location
7 Independence PT Ste 300
Greenville, SC 29615-4569
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1920 Pickens St
Columbia, SC 29201-2632
Phone (803) 254-7732
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17893 | SC | MD | Dermatology Physician |
| 89907 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health-Midlands | Current | Accepting new patients | |
| Columbia Eye Surg Center Inc | Current | Accepting new patients | |
| Columbia Eye Clinic PA | Current | Accepting new patients | |
| Columbia Eye Surgery Center Inc | Current | Accepting new patients | |
| Concordia Anesthesiology, Inc | Current | Accepting new patients | |
| Prisma Health-Midlands | Current | Accepting new patients |
Locations
1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137
5 Richland Medical Park Dr
Ste 470
Columbia, SC 29203
1920 Pickens St
Columbia, SC 29201
Phone (803) 254-7732
5 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-2168
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
100 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 806-0075
391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Clinic/Center
- Columbia, SC
- NPI 1720044514
-
- Ophthalmologic Surgery Clinic/Center
- Columbia, SC
- NPI 1184686792
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1205889458
-
- Ambulatory Surgical Clinic/Center
- Columbia, SC
- NPI 1720175573
-
- General Acute Care Hospital
- Sumter, SC
- NPI 1326043548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1881964385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 INDEPENDENCE PT STE 300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154569",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705"
}
],
"practiceLocations": [
{
"address_1": "5 Richland Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292036863",
"country_code": "US",
"telephone_number": "803-434-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STORM",
"first_name": "ANNETTE",
"middle_name": "N",
"credential": "CRNA, MNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-31",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "89907",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "17893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.