Active NPI
Amber Jean Callison, CRNA
- Certified Registered Nurse Anesthetist
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024173334
- Practice address
- 500 J Clyde Morris Blvd
Newport News, VA 23601-1929 - Phone
- (757) 594-2000
- NPI assigned
- Feb 24, 2016
- Last updated
- Feb 24, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024173334 | VA | Primary |
Addresses
Primary practice location
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Mailing address
416 Minute Men Rd
Virginia Beach, VA 23462-2230
Phone (419) 957-9213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, AL, NC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Ohio State University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Commerce Ctr Loop
Suite B
Mooresville, NC 28117-8385
Phone (704) 662-0877
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024173334 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dothan Anesthesiology Associates PC | Current | Accepting new patients | |
| Lake Norman Anesthesia Associates | Current | Accepting new patients | |
| Epix Anesthesia of Alabama LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Veronox Anesthesia, LLC | Current | Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
201 E Watts St
Enterprise, AL 36330
Phone (334) 383-5474
400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584
200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150
114 Commerce Center Loop
Ste B
Mooresville, NC 28117
Phone (704) 662-0877
146 Medical Park Rd
Ste 108
Mooresville, NC 28117
Phone (704) 662-0876
171 Fairview Rd
Mooresville, NC 28117
Phone (704) 660-4000
Organizations & group practices 4
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.
-
- Specialist
- Mooresville, NC
- NPI 1386753457
-
- Anesthesiology Physician
- Dothan, AL
- NPI 1013997857
-
- Anesthesiology Physician
- Roswell, GA
- NPI 1629427059
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Enterprise, AL
- NPI 1669951604
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Duke Health Lake Norman Hospital
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1912367616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 MINUTE MEN RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622230",
"telephone_number": "419-957-9213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 J CLYDE MORRIS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011929",
"telephone_number": "757-594-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLISON",
"first_name": "AMBER",
"middle_name": "JEAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-24",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024173334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.