Individual provider Active NPI

Alisha Allison Tuttle, RN, BSN

  • Certified Registered Nurse Anesthetist
  • Anderson, IN
National Provider Identifier
1942777149
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28211888A Issued in IN
Practice address
2015 Jackson St
Anderson, IN 46016-4337
Phone
(765) 649-2511
NPI assigned
Oct 26, 2018
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.019802 OH
Certified Registered Nurse Anesthetist 367500000X 28211888A IN Primary

Addresses

Primary practice location

2015 Jackson St
Anderson, IN 46016-4337

Mailing address

2015 Jackson St
Anderson, IN 46016-4337

Other practice location 1

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 2

455 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 722-4200

Other identifiers 1

IdentifierTypeStateIssuer
0330525MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190125002739 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830436054 Reassigns benefits to 2 organizations
I20240212001755 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830436054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

2015 Jackson St
Anderson, IN 46016-4337
Phone (765) 649-2511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CRNA.019802OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New Albany Orthopedic Anesthesia LLC CurrentSince Nov 16, 2020 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Mar 31, 2024 Accepting new patients
Children's Anesthesia Associates Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2019 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Mar 31, 2024 Accepting new patients
Orange ASC, LTD PastSince Nov 16, 2020 Accepting new patients

Locations

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

3600 Stelzer Rd
Ste 100
Columbus, OH 43219
Phone (614) 255-2900

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

455 Executive Campus Dr
Westerville, OH 43082
Phone (614) 355-6100

Organizations & group practices 5

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": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1942777149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164337",
            "telephone_number": "765-649-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Executive Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828870",
            "country_code": "US",
            "telephone_number": "614-722-4200",
            "fax_number": "614-722-4203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "ALISHA",
        "middle_name": "ALLISON",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.019802",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28211888A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0330525",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.