Jennifer Dyan Thayer, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704221361 Issued in MI

Practice address

22101 Moross Rd
Detroit, MI 48236-2148

Phone

(313) 343-4766

NPI assigned

Oct 5, 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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Henry Ford Health St. John HospitalGroup PAC ID 3173424082, 332 clinicians

Trillium Anesthesia Services PLLCGroup PAC ID 0941698708, 16 clinicians

Henry Ford Health River District HospitalGroup PAC ID 0446153407, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jthayer1155438@direct.hfhs.org

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.

• Henry Ford Health River District Hospital

  • Certified Registered Nurse Anesthetist
  • East China, MI
  • NPI 1225102569

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Henry Ford Health St. John Hospital

  • Certified Registered Nurse Anesthetist
  • Detroit, MI
  • NPI 1598896995

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Trillium Anesthesia Services, PLLC

  • Anesthesiology Physician
  • Clinton Township, MI
  • NPI 1417522848
  Medicare reassignment Care Compare group NPD
• Asa Staffing Inc

  • Certified Registered Nurse Anesthetist
  • Rochester, MI
  • NPI 1114378981

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Comprehensive Anesthesia & Perioperative Services, Inc.

  • Certified Registered Nurse Anesthetist
  • Southfield, MI
  • NPI 1245202241

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Henry Ford Health Macomb Oakland Hospital

  dba St. John Macomb Hospital CRNAs

  • Certified Registered Nurse Anesthetist
  • Warren, MI
  • NPI 1396789434

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Henry Ford Health Macomb-Oakland Hospital

  dba St. John Oakland Hospital CRNAs

  • Certified Registered Nurse Anesthetist
  • Madison Heights, MI
  • NPI 1871793505

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Henry Ford Health Macomb-Oakland Hospital

  dba Henry Ford Warren Hospital

  • Social Worker
  • Warren, MI
  • NPI 1548609761
  NPD
• Henry Ford Health River District Hospital

  • General Acute Care Hospital
  • East China, MI
  • NPI 1619941333
  NPD
• Henry Ford Health St. John Hospital

  dba St John Hospital and Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  NPD
• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  NPD (past)
• St John Hospital

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1821173196
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health St. John Hospital

  dba St John Hospital and Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1912093949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27992 HAMBELTONIAN DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474897",
            "telephone_number": "586-909-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "JENNIFER",
        "middle_name": "DYAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704221361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krishna Thavarajah, M.D.
• Neelam Thawani, P.T
• Schawana Thaxton, NP
• Tyria Jeannine Thaxton
• Bethany Thayer
• William Bradley Thayer, DDS
• The (B)Resource Room LLC
• The 1St Choice Home Health Agency LLC
• The 4TH Man LLC
• The Adult Psychiatric Clinic (North Central Health Center)

• Certified Registered Nurse Anesthetist in Detroit, MI
• Providers in Detroit, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.

Verify at the official NPI Registry.