Individual provider Active NPI

Mieko Suzuki McLafferty, CRNA

  • Registered Nurse
  • Fresno, CA
National Provider Identifier
1952512147
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
129 Issued in CA
Practice address
2828 Fresno St Ste 100
Fresno, CA 93721-1327
Phone
(559) 263-9648
Fax
(559) 263-9777
NPI assigned
May 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 129 CA Primary

Addresses

Primary practice location

2828 Fresno St Ste 100
Fresno, CA 93721-1327

Mailing address

9749 Pine Thickett Ave
Las Vegas, NV 89147-6747
Phone (702) 233-1251

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

OrganizationSpecialtyStatusNew patients
Martinsville Anesthesia, PC Past Accepting new patients
Premier Anesthesia of New York, P.C. Past Accepting new patients
Verde Valley Medical Center Past Accepting new patients
Rocky Mountain Anesthesiology, PC Past Accepting new patients
Suffolk Anesthesiology Associates, PC Past Accepting new patients
Sheridan Healthcare of Colorado PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1952512147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9749 PINE THICKETT AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476747",
            "telephone_number": "702-233-1251",
            "fax_number": "702-255-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 FRESNO ST STE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211327",
            "telephone_number": "559-263-9648",
            "fax_number": "559-263-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAFFERTY",
        "first_name": "MIEKO",
        "middle_name": "SUZUKI",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-27",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.