Individual provider Active NPI

Amy M Green, CRNA

  • Certified Registered Nurse Anesthetist
  • Paris, TX
National Provider Identifier
1922110691
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN178273 Issued in GA
Practice address
865 Deshong Dr
Paris, TX 75460-9313
Phone
(903) 785-4521
NPI assigned
Aug 31, 2006
Last updated
Jul 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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 RN178273 GA Primary

Addresses

Primary practice location

865 Deshong Dr
Paris, TX 75460-9313

Mailing address

422 County Road 43400
Paris, TX 75462-1625
Phone (903) 905-2143

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070717000466 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123026788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Texas Regional Anesthesia Medical Group PAGroup PAC ID 8325328628, 16 clinicians

Practice addresses (Care Compare)

865 Deshong Dr
Paris, TX 75460-9313
Phone (865) 985-7062

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN178273GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Essent PRMC LP Current Accepting new patients
Orthomed Staffing LLC CurrentSince Mar 31, 2021 Accepting new patients
Essent PRMC LP Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2007 Accepting new patients
Texas Regional Anesthesia Medical Group, P.a Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Essent PRMC LP CurrentSince Jan 1, 2007 Accepting new patients
Memorial Health Anesthetists Past Accepting new patients

Locations

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

2905 Pine Mill Rd
Paris, TX 75460
Phone (903) 272-9924

820 Clarksville St
Paris, TX 75460
Phone (903) 737-3291

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1922110691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 COUNTY ROAD 43400",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754621625",
            "telephone_number": "903-905-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 DESHONG DR",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609313",
            "telephone_number": "903-785-4521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN178273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.