Krystal Mae Tipping

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

491376-4406 Issued in UT

Practice address

200 S 1500 W
Ogden, UT 84404

Phone

(801) 710-1161

NPI assigned

Feb 24, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Krystal Mae Hansen Former name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mt Ogden Anesthesia Group LLCGroup PAC ID 4587976436, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Mt Ogden Anesthesia Group LLC

  • Certified Registered Nurse Anesthetist
  • Ogden, UT
  • NPI 1770999807
  Medicare reassignment Care Compare group
• Anesthesia Associates of Gainesville, LLC

  • Anesthesiology Physician
  • Gainesville, GA
  • NPI 1457456485
  NPD (past)

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1053551531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 1500 W",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844044762",
            "telephone_number": "801-710-1161",
            "fax_number": "801-944-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 1500 W",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84404",
            "telephone_number": "801-710-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-532-7179",
            "fax_number": "770-534-1312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6360 S 3000 E Ste 310",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841216939",
            "country_code": "US",
            "telephone_number": "801-944-3144",
            "fax_number": "801-944-3186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPPING",
        "first_name": "KRYSTAL",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "491376-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "HANSEN",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy S Houden MD PC
• Timothy Sullivan, MD PC
• Chad W Tingey, MD
• Megan Leigh Tingey, PA-C
• Jennifer Tinsley
• Mandi Titcomb
• Anntoinette Tamara Titus
• Gerald B Tobias, D.D.S.
• Justin Scott Tobias, DDS
• Lindie Holly Tobler, RN

• Certified Registered Nurse Anesthetist in Ogden, UT
• Providers in Ogden, UT by specialty
• Certified Registered Nurse Anesthetist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.

Verify at the official NPI Registry.