Jill R Erickson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R35535 Issued in SC

Practice address

1655 E Greenville St
Anderson, SC 29621-2062

Phone

(864) 716-7907

Fax

(864) 225-9035

NPI assigned

May 31, 2005

Last updated

Oct 10, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Anmed Health Medicus Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Anderson, SC
  • NPI 1265435614
  NPD (past)
• Capitol Anesthesiology, PC

  • Anesthesiology Physician
  • Morrow, GA
  • NPI 1245287192
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1962405399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1886",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296221886",
            "telephone_number": "864-716-7907",
            "fax_number": "864-225-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212062",
            "telephone_number": "864-716-7907",
            "fax_number": "864-225-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JILL",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "R35535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0187",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emeritus Corporation (Anderson Place)
• Emeritus Corporation (Anderson Place Summer House)
• Andrea Emmerich, D.D.S.
• Te'la Eppinger
• Jenna Michelle Epplin
• Ernest C. Martin, M.D., P.a.
• Allison Chila Erskine, PA-C
• Denise Alexandria Erskine
• Ekong Ito Eta, MD
• Etas Clinic, P.C.

• Certified Registered Nurse Anesthetist in Anderson, SC
• Providers in Anderson, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.