Active NPI
Kyle Gates Hiestand, CRNA
- Certified Registered Nurse Anesthetist
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704291695
- Practice address
- 900 Peeler St
Kalamazoo, MI 49008-2300 - Phone
- (269) 345-8618
- Fax
- (269) 345-1508
- NPI assigned
- Jun 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 772359 | CA | |
| Registered Nurse | 163W00000X | 4704291695 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 4704291695 | MI | Primary |
Addresses
Primary practice location
900 Peeler St
Kalamazoo, MI 49008-2300
Mailing address
900 Peeler St
Kalamazoo, MI 49008-2300
Phone (269) 345-8618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10207 Cerny St
Suite 210
Raleigh, NC 27617-4887
Phone (919) 684-8111
801 W Barbee Chapel Rd
Suite 100
Chapel Hill, NC 27517-8188
Phone (919) 684-8111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 772359 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Raleigh Sedation Associates LLC | Anesthesiology | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients |
Locations
1505 SW Cary Pkwy
Ste 202
Cary, NC 27511
Phone (919) 249-5087
801 W Barbee Chapel Rd
#100
Chapel Hill, NC 27517
Phone (919) 385-2600
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216
8300 Health Park
Ste 210
Raleigh, NC 27615
Phone (919) 249-5902
10207 Cerny St
Ste 210
Raleigh, NC 27617
Phone (800) 266-3853
Organizations & group practices 5
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
dba Duke University Hospital
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Raleigh, NC
- NPI 1639698533
Anesthesiology
-
dba Duke Diet and Fitness Center
- Family Medicine Physician
- Durham, NC
- NPI 1336448810
-
dba Duke Home Infusion
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Duke Raleigh Hospital, a campus of Duke University Hospital
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
dba Duke Raleigh Hospital, a campus of Duke University Hospital
- Clinical Medical Laboratory
- Raleigh, NC
- NPI 1306828108
Hospital
-
dba Duke University Hospital
- Clinical Medical Laboratory
- Durham, NC
- NPI 1508847047
Hospital
-
dba Duke University Hospital
- Land Ambulance
- Durham, NC
- NPI 1417954942
Hospital
-
dba Duke University Hospital
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
dba Duke University Hospital
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1013270511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 PEELER ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082300",
"telephone_number": "269-345-8618",
"fax_number": "269-345-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PEELER ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082300",
"telephone_number": "269-345-8618",
"fax_number": "269-345-1508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIESTAND",
"first_name": "KYLE",
"middle_name": "GATES",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "772359",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704291695",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704291695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.