Individual provider Active NPI

Cynthia Powell, CRNA

  • Certified Registered Nurse Anesthetist
  • San Antonio, TX
National Provider Identifier
1912984683
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP107381 Issued in TX
Practice address
4502 Medical Dr
San Antonio, TX 78229
Phone
(210) 567-4500
Fax
(210) 567-3800
NPI assigned
Dec 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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 AP107381 TX Primary

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229

Mailing address

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 567-4500

Other practice location 1

2411 Fountain View Dr
Ste. 200
Houston, TX 77057
Phone (713) 620-4000

Other practice location 2

2411 Fountain View Dr
Ste. 200
Houston, TX 77057
Phone (713) 620-4000

Other identifiers 2

IdentifierTypeStateIssuer
088595608MedicaidTX
088595609OtherTXCSHCN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000653 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042247710 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP107381TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 26, 2022 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Apr 1, 2019 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Apr 1, 2019 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 26, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Jerome R Elk, MD Past Accepting new patients
Medical Center Anesthesia Associates PA PastSince May 1, 2017 Accepting new patients
Laurence Kam MD Past Accepting new patients
Katy West Houston Anesthesia PA Past Accepting new patients
Curtis David Warrington MD PA Past Accepting new patients
J Rael Elk, MD Past Accepting new patients
Medical Center Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Scott W. Duncan, MD Past Accepting new patients

Locations

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

12850 Toepperwein Rd
Live Oak, TX 78233
Phone 2106141234713

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

5223 Hamilton Wolfe Rd
San Antonio, TX 78229
Phone 2106141234713

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

855 Proton Rd
San Antonio, TX 78258
Phone (210) 582-8000

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1912984683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-567-4500",
            "fax_number": "210-567-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-567-4500",
            "fax_number": "210-567-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2411 Fountain View Dr",
            "address_2": "Ste. 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77057",
            "country_code": "US",
            "telephone_number": "713-620-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2411 Fountain View Dr",
            "address_2": "Ste. 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77057",
            "country_code": "US",
            "telephone_number": "713-620-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CYNTHIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP107381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088595608",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "088595609",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.