Active NPI
Gwendolyn M Keyt, CRNA
- Certified Registered Nurse Anesthetist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201060012CRNA
- Practice address
- 3181 SW Sam Jackson Park Rd
Mailcode Uhs-2
Portland, OR 97239-3011 - Phone
- (503) 494-7641
- Fax
- (503) 418-0884
- NPI assigned
- Jun 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 201060012CRNA | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Mailcode Uhs-2
Portland, OR 97239-3011
Mailing address
4314 NE Hassalo St
Portland, OR 97213-1516
Phone (206) 714-6840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9701 SW Barnes Rd
Suite 300
Portland, OR 97225-6689
Phone (503) 297-8081
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Oregon Anesthesiology Group PC | Current | Accepting new patients | |
| On-Site Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Complete Anesthesia Care LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
707 SW Washington St
Ste 700
Portland, OR 97205
9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081
1130 NW 22nd Ave
Ste 615
Portland, OR 97210
Phone (503) 229-7137
1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137
3181 SW Sam Jackson Park Rd
#2
Portland, OR 97239
Phone (503) 494-4910
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
1111 NE 99th Ave
Ste 302
Portland, OR 97220
Phone (503) 963-2707
2480 Liberty St NE
Ste 120
Salem, OR 97301
Phone (503) 363-4355
6464 SW Borland Rd
Ste A3
Tualatin, OR 97062
Phone (503) 292-8614
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Portland, OR
- NPI 1720387954
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Portland, OR
- NPI 1932464492
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lake Oswego, OR
- NPI 1669417176
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Portland, OR
- NPI 1477527786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1043531999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4314 NE HASSALO ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131516",
"telephone_number": "206-714-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "MAILCODE UHS-2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-7641",
"fax_number": "503-418-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYT",
"first_name": "GWENDOLYN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201060012CRNA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.