Individual provider Active NPI

Rita L. Forhan, CRNA

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
National Provider Identifier
1912937236
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
463976 Issued in TX
Practice address
5959 Gateway Blvd W
St.E 120
El Paso, TX 79925-3331
Phone
(915) 779-1716
Fax
(915) 771-6558
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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 463976 TX Primary

Addresses

Primary practice location

5959 Gateway Blvd W
St.E 120
El Paso, TX 79925-3331

Mailing address

5959 Gateway Blvd W
St.E 120
El Paso, TX 79925-3331
Phone (915) 779-1716

Other identifiers 2

IdentifierTypeStateIssuer
109889904MedicaidTX
84392UOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000034 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830154616 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Anesthesia Partners, PLLC CurrentSince Oct 12, 2022 Accepting new patients
El Paso Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2019 Accepting new patients
Paul Kisucky Crna PC Nurse Anesthetist, Certified Registered Past Accepting new patients
New Mexico Anesthesia Specialists LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

9101 N Central Expy
Ste 550
Dallas, TX 75231
Phone (214) 442-0055

1620 N Mesa St
El Paso, TX 79902
Phone (210) 660-5040

1300 Murchison Dr
Ste 180
El Paso, TX 79902
Phone (915) 544-5000

125 W Castellano Dr
El Paso, TX 79912
Phone (915) 532-8200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1912937236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W",
            "address_2": "ST.E 120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253331",
            "telephone_number": "915-779-1716",
            "fax_number": "915-771-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W",
            "address_2": "ST.E 120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253331",
            "telephone_number": "915-779-1716",
            "fax_number": "915-771-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORHAN",
        "first_name": "RITA",
        "middle_name": "L.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "463976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109889904",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84392U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.