ALYSSA RENELLE PUGH (NPI# 1205166824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205166824 |
| Entity Type | Individual |
| Full Name | ALYSSA RENELLE PUGH |
| Credential | CRNA |
| Practice Address |
6100 Harris Pkwy Fort Worth TX 76132 |
| Mailing Address |
Po Box 840853 Dallas TX 75284-0853 |
| Practice Telephone | 8174331800 |
| Mailing Telephone | 9722331666 |
| Mailing Fax Number | 9722333666 |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2018-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 727877 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316491517 | Alyssa Pugh | Speech-Language Pathologist | 211 Old Lexington Rd, Thomasville, NC 27360-3428 | 2016-08-05 |
| Street Address |
6100 HARRIS PKWY |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851392401 | Fredric Dorhauer Johnson | Family Medicine | 6100 Harris Pkwy, Suite 205, Fort Worth, TX 76132-4124 | 2005-08-04 |
| 1417583030 | Isabelle Nyota | Registered Nurse | 6100 Harris Pkwy, Fort Worth, TX 76132-4101 | 2020-03-15 |
| 1134632029 | Erin Lynn Morehead | Nurse Practitioner | 6100 Harris Pkwy, Fort Worth, TX 76132-4101 | 2017-11-14 |
| 1013431642 | Pamela J Mainous | Specialist/Technologist, Other | 6100 Harris Pkwy, Fort Worth, TX 76132-4101 | 2017-07-25 |
| 1265881767 | Lisa Phillips | Physician Assistant | 6100 Harris Pkwy, Fort Worth, TX 76132-4101 | 2016-06-07 |
| 1174980536 | Elizabeth Baker | Physician Assistant | 6100 Harris Pkwy, Fort Worth, TX 76132-4101 | 2016-01-15 |
| 1033506480 | Jose Calderon | Physician Assistant | 6100 Harris Pkwy, Suite 345, Fort Worth, TX 76132-4101 | 2015-04-23 |
| 1447646559 | Azfar Syed | Family Medicine | 6100 Harris Pkwy, Fort Worth, TX 76132-4101 | 2015-04-15 |
| 1174919641 | Grant Warren Potter | Family Medicine | 6100 Harris Pkwy, Fort Worth, TX 76132 | 2015-04-12 |
| 1306241583 | Jennifer Lynn Chavez | Nurse Practitioner | 6100 Harris Pkwy, Suite # 285, Fort Worth, TX 76132-4101 | 2014-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
| 1134781792 | Daniel Max & Marcandrea LLC | Optometrist | 4619 S Hulen St, Suite C, Fort Worth, TX 76132 | 2019-07-03 |
| 1568029320 | Ty Desilets | Physical Therapist | 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 | 2019-05-28 |
| 1750844049 | Fort Worth Surgical Center Lp | Clinic/Center | 6949 Bryant Irvin Road, Fort Worth, TX 76132 | 2019-04-12 |
| 1063971232 | Symetria Health of Texas, LLC | Clinic/Center | 7299 Hawkins View Drive, Fort Worth, TX 76132 | 2019-03-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1881110161 | Because De Cares | Private Vehicle | 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 | 2017-08-17 |
| 1871045708 | Cns - F.w., LLC | Clinic/Center | 6940 Harris Parkway, Fort Worth, TX 76132 | 2016-10-26 |
| 1790233294 | Prime Diagnostic Imaging of Fort Worth, LLC | Clinic/Center | 6491 Southwest Blvd., Benbrook, TX 76132 | 2016-09-14 |
| Find all providers in zip 76132 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288524 | Pmr Crna Pllc | Nurse Anesthetist, Certified Registered | 5000 Alicia Dr, Fort Worth, TX 76133-7902 | 2020-09-08 |
| 1922622919 | Devontee Delishuanee Rayford | Nurse Anesthetist, Certified Registered | 3925 Crenshaw Ave, Fort Worth, TX 76105-4115 | 2020-06-04 |
| 1487292520 | Tran Dao | Nurse Anesthetist, Certified Registered | 8113 Rambler Rose St, Fort Worth, TX 76137-1294 | 2019-12-19 |
| 1093375305 | Desiree Michelle Silva | Nurse Anesthetist, Certified Registered | 7212 Park West Cir Apt 8210, Fort Worth, TX 76134-3570 | 2019-06-18 |
| 1255877551 | Virtue Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 209 Saint Louis Ave, Fort Worth, TX 76104-1231 | 2017-01-10 |
| 1326406919 | Tonie Durrah | Nurse Anesthetist, Certified Registered | 9713 Burwell Dr, Fort Worth, TX 76244-9531 | 2016-02-10 |
| 1730545658 | Erasmo Coutino | Nurse Anesthetist, Certified Registered | 917 W Broadus Ave, Fort Worth, TX 76115-2410 | 2016-01-07 |
| 1528423365 | John Ryan Nuckols | Nurse Anesthetist, Certified Registered | 6020 Portico Dr Apt 1527, Fort Worth, TX 76132-4189 | 2015-12-21 |
| 1194198457 | Nathan Boone Crick | Nurse Anesthetist, Certified Registered | 5264 Buffalo Gap Trl, Fort Worth, TX 76126 | 2015-11-09 |
| 1780061044 | Heather Taylor Ross | Nurse Anesthetist, Certified Registered | 5918 Siltstone Ln, Apt 616, Fort Worth, TX 76137-8003 | 2015-05-06 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76132 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.