Individual provider Active NPI

Eleanor Earley Holstein, CRNA

  • Certified Registered Nurse Anesthetist
  • Rome, GA
National Provider Identifier
1902892334
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN087111 Issued in GA
Practice address
330 Turner McCall Blvd SW
Rome, GA 30165-5630
Phone
(706) 802-2000
Fax
(706) 233-9846
NPI assigned
Sep 21, 2005
Last updated
Dec 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 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 RN087111 GA Primary

Addresses

Primary practice location

330 Turner McCall Blvd SW
Rome, GA 30165-5630

Mailing address

PO Box 102186
Atlanta, GA 30368-2186
Phone (800) 919-1190

Other identifiers 1

IdentifierTypeStateIssuer
000559303EMedicaidGA

Other names 1

  • Eleanor Ruth Earley Other name

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
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
43447GAMDEmergency Medicine Physician
RN087111GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Redmond Anesthesia Services LLC Past Accepting new patients
Preferred Anesthesia Consultants LLC Past Accepting new patients
Harbin Clinic, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1902892334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102186",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682186",
            "telephone_number": "800-919-1190",
            "fax_number": "706-737-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655630",
            "telephone_number": "706-802-2000",
            "fax_number": "706-233-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTEIN",
        "first_name": "ELEANOR",
        "middle_name": "EARLEY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN087111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000559303E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELEANOR",
            "last_name": "EARLEY",
            "middle_name": "RUTH",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.