Lourdes Sofia Avinaz, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Garden City, KS
NPI 1033551981 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1033551981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 43557567122 (KS)
- Practice address
- 401 E Spruce St
Garden City, KS 67846-5679 - Phone
- (620) 272-2222
- NPI assigned
- Jul 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tucson Physician Group Holdings LLC
Practice addresses (Care Compare)
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 872-3000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NM, AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190606002600 | NM | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7214298736 | Reassigns benefits to 1 organization |
| I20240430002090 | AZ | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7214298736 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9331281 | FL | MD | Critical Care Medicine Registered Nurse |
| 43557567122 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otero County Hospital Association | Current |
Accepting new patients | |
| Otero County Hospital Association | Current |
Accepting new patients |
Locations
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN9331281 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 43557567122 | KS | Yes |
Addresses
Primary practice location
401 E Spruce St
Garden City, KS 67846-5679
Mailing address
PO Box 178
Garden City, KS 67846-0178
Phone (904) 729-9614
Other practice location 1
655 W 8th St
Jacksonville, FL 32209-6511
Phone (904) 244-8649
Other providers in Garden City, KS
- Ascension Via Christi Home Medical Wichita, LLC
- Aspen, Inc
- Aspen, Inc.
- Jaime Astorga
- Atlas Anesthesia
- Baier Family Chiropractic PA
- Bobbie Jo Baier
- Jeffrey Leonard Baier
- Tammy L Bailes
- Baker Boot Company & Orthopedic L.L.C.
All providers in Garden City, KS · Certified Registered Nurse Anesthetist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.