Active NPI
Betty Macias, CRNA
- Certified Registered Nurse Anesthetist
- Laurel, MS
National Provider Identifier
1922055060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R831042
- Practice address
- 1220 Jefferson St
Laurel, MS 39440-4355 - Phone
- (601) 426-4507
- Fax
- (601) 426-4228
- NPI assigned
- May 27, 2006
- 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 | R831042 | MS | Primary |
Addresses
Primary practice location
1220 Jefferson St
Laurel, MS 39440-4355
Mailing address
PO Box 607
Laurel, MS 39441-0607
Phone (601) 426-4507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00114015 | Medicaid | MS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LCMS Cardiovascular Diseases, LLC | Current | Accepting new patients | |
| PHC-Cleveland LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Tupelo Anesthesia Group PA | Past | Accepting new patients |
Locations
1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Lake Charles, LA
- NPI 1285869370
-
- Anesthesiology Physician
- Cleveland, MS
- NPI 1528158532
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1558390443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1922055060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 607",
"city": "LAUREL",
"state": "MS",
"postal_code": "394410607",
"telephone_number": "601-426-4507",
"fax_number": "401-426-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 JEFFERSON ST",
"city": "LAUREL",
"state": "MS",
"postal_code": "394404355",
"telephone_number": "601-426-4507",
"fax_number": "601-426-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACIAS",
"first_name": "BETTY",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R831042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00114015",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.