Individual provider Active NPI

Amber Tiberio, CRNA

  • Certified Registered Nurse Anesthetist
  • Shawnee, KS
National Provider Identifier
1033414321
Registry record updated Mar 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
557002 Issued in KS
Practice address
6302 Monrovia St
Shawnee, KS 66216-2740
Phone
(913) 341-6767
NPI assigned
Jan 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2022

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 557002 KS Primary

Addresses

Primary practice location

6302 Monrovia St
Shawnee, KS 66216-2740

Mailing address

15600 Alhambra St
Overland Park, KS 66224-8734
Phone (913) 808-0956

Other names 1

  • Amber Stroup Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110209000559 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133309081 Reassigns benefits to 2 organizations
I20200422001587 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133309081 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Kansas City PA CurrentSince Aug 12, 2019 Accepting new patients
Rem Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Seth J. Cohen, DDS LLC CurrentSince Jun 21, 2022 Accepting new patients
Midwest Heart & Vascular Specialists, LLC PastSince Apr 20, 2020 Accepting new patients
Lawrence Anaesthesia PA Past Accepting new patients

Locations

7111 W 151st St
Overland Park, KS 66223
Phone (785) 403-0405

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910

15933 W 65th St
Shawnee, KS 66217
Phone (913) 239-0703

6302 Monrovia St
Shawnee Mission, KS 66216
Phone (913) 341-6767

2037 SE 29th St
Topeka, KS 66605
Phone (785) 267-9500

3630 SW Fairlawn Rd
Topeka, KS 66614
Phone (785) 273-8080

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1033414321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 ALHAMBRA ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662248734",
            "telephone_number": "913-808-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 MONROVIA ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162740",
            "telephone_number": "913-341-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBERIO",
        "first_name": "AMBER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "STROUP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.