Active NPI
Tierney Lee Dela Torre, CRNA
- Certified Registered Nurse Anesthetist
- New York, NY
National Provider Identifier
1912415688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704292492
- Practice address
- 1275 York Ave
New York, NY 10065-6007 - Phone
- (212) 639-2000
- NPI assigned
- Jan 16, 2018
- 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 | 4704292492 | MI | Primary |
Addresses
Primary practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
225 E 57TH St Apt 14a
New York, NY 10022-2873
Phone (734) 672-5378
Other practice location 1
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (313) 363-8189
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704292492 | MI | MD | Certified Registered Nurse Anesthetist |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650067200000",
"number": "1912415688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E 57TH ST APT 14A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100222873",
"telephone_number": "734-672-5378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-2000"
}
],
"practiceLocations": [
{
"address_1": "2333 Biddle Ave",
"address_purpose": "LOCATION",
"city": "Wyandotte",
"state": "MI",
"postal_code": "481924668",
"country_code": "US",
"telephone_number": "313-363-8189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELA TORRE",
"first_name": "TIERNEY",
"middle_name": "LEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2022-04-16",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704292492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.