Organization Active NPI

Whitetail Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Frisco, TX
National Provider Identifier
1932868544
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
WHITETAIL ANESTHESIA ASSOCIATES
Practice address
3140 Legacy Dr Ste 310
Frisco, TX 75034-9383
Phone
(972) 435-4252
Fax
(214) 975-1630
NPI assigned
Dec 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scheron Washington
Title
Director of Billing
Phone
(972) 435-4252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

3140 Legacy Dr Ste 310
Frisco, TX 75034-9383

Mailing address

3140 Legacy Dr Ste 310
Frisco, TX 75034-9383
Phone (972) 435-4252

Other names 1

  • Whitetail Anesthesia Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1932868544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 LEGACY DR STE 310",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349383",
            "telephone_number": "972-435-4252",
            "fax_number": "214-975-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 LEGACY DR STE 310",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349383",
            "telephone_number": "972-435-4252",
            "fax_number": "214-975-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITETAIL ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "SCHERON",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "972-435-4252"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitetail Anesthesia Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whitetail Anesthesia Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.