Individual ProviderDania NorthcuttNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705(512) 454-2554(713) 442-4997PECOS EnrollmentBased on the most recent information from CMS, provider Dania Northcutt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1013373877Provider TypeIndividualFull NameNorthcutt, DaniaCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date1/11/2016Last Updated11/16/2021Contact InformationPractice LocationPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705Phone(512) 454-2554FaxUnlisted FaxMailing LocationMailing Address11511 Shadow Creek Pkwy, Pearland, TX 77584-7298Phone(713) 442-4997FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP130896TexasCode367500000XDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR195160Maryland