Mary Ann Hall, CRNA

Primary specialty

Registered NurseTaxonomy code 163W00000X

Practice address

600 E 1St St
Spring Valley, IL 61362-1512

Phone

(815) 664-5311

NPI assigned

Mar 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Bureau Valley Anesthesia Group, Inc.

  • Anesthesiology Physician
  • Princeton, IL
  • NPI 1023186517
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972629509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656654",
            "telephone_number": "309-912-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-664-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU VALLEY ANESTH GRP",
            "identifier": "1023186517",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972629509",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goldwater Care Spring Valley LLC (Goldwater Care Spring Valley)
• Christine M. Greene, FNP
• Jennifer Gunness, RD, LDN, CNSC
• Kati Jean Hagenbuch, MA, CCC-SLP/L
• Hall Township HS Dist 502
• Amy Harp, MS, RD, LDN
• Peggy Helm, OTR
• Kimberly Hermann
• Christine Elie Hermosillo, NP-C
• Jose Emmanuel Candia Honorio

• Registered Nurse in Spring Valley, IL
• Providers in Spring Valley, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.