Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theresa K Hanicak, CRNA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740942499

Theresa K Hanicak, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Charleston, South Carolina. Qualified in 2021, 5 years ago. Practices with Dominion Anesthesia PLLC, a 77-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Charleston, SC

No coordinates on file. Search this address in Google Maps

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 25550 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740942499
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 11, 2021
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Dominion Anesthesia Pllc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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