Individual provider Active NPI

Vickie Dee Paulson, CRNA

  • Certified Registered Nurse Anesthetist
  • Corpus Christi, TX
National Provider Identifier
1972925360
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
660018 Issued in TX
Practice address
1734 Santa Fe St
Corpus Christi, TX 78404-1857
Phone
(361) 883-6211
Fax
(361) 882-4891
NPI assigned
Jan 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 660018 TX Primary

Addresses

Primary practice location

1734 Santa Fe St
Corpus Christi, TX 78404-1857

Mailing address

1734 Santa Fe St
Corpus Christi, TX 78404-1857
Phone (361) 883-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140502000280 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143453985 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endoscopy Anesthesia Services LLCGroup PAC ID 3971043159, 3 clinicians
Clinical Associates, IncGroup PAC ID 8325217904, 37 clinicians

Practice addresses (Care Compare)

1200 E Savannah Ave
Suite 15
McAllen, TX 78503-1728
Phone (956) 687-2673

1452 Hughes Rd
Suite 244
Grapevine, TX 76051-7366
Phone (800) 875-8523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
660018TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Comprehensive Pain Management, PA CurrentSince Mar 20, 2022 Accepting new patients
Ccec Anesthesia Management LLC CurrentSince Jul 1, 2017 Accepting new patients
Harlingen Anesthesia Associates Past Accepting new patients
Clinical Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered PastSince Oct 16, 2022 Accepting new patients

Locations

6421 Saratoga Blvd
Bldg 105
Corpus Christi, TX 78414
Phone (361) 985-9300

3201 Airline Rd
Ste K
Corpus Christi, TX 78414
Phone (361) 653-1125

1200 E Savannah Ave
Ste 15
McAllen, TX 78503
Phone (956) 687-2673

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": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1972925360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 SANTA FE ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784041857",
            "telephone_number": "361-883-6211",
            "fax_number": "361-882-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 SANTA FE ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784041857",
            "telephone_number": "361-883-6211",
            "fax_number": "361-882-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "VICKIE",
        "middle_name": "DEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "660018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.