Leila Adhiambo Otieno, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R192707 Issued in MD

Practice address

700 High St
Williamsport, PA 17701-3100

Phone

(570) 321-1000

NPI assigned

May 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Leila Adhiambo Otieno Professional name

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Digestive Disease Associates LLCGroup PAC ID 1951734078, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Digestive Disease Associates, LLC

  • Gastroenterology Physician
  • Baltimore, MD
  • NPI 1407400955
  Medicare reassignment Care Compare group NPD
• Maryland Endoscopy Anesthesia LLC

  • Anesthesiology Physician
  • Towson, MD
  • NPI 1366818411
  Medicare reassignment NPD
• Montgomery Anesthesia Care, LLC

  • Certified Registered Nurse Anesthetist
  • Rockville, MD
  • NPI 1720384431

  DC

  Medicare reassignment NPD
• North American Partners in Anesthesia Maryland LLC

  • Anesthesiology Physician
  • Prince Frederick, MD
  • NPI 1093707879

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1241222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1063646206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 MORNING DOVE WAY",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289844",
            "telephone_number": "443-768-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013100",
            "telephone_number": "570-321-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Hunters Ln",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142213319",
            "country_code": "US",
            "telephone_number": "716-565-0751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTIENO",
        "first_name": "LEILA",
        "middle_name": "ADHIAMBO",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-02",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R192707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEILA",
            "last_name": "OTIENO",
            "middle_name": "ADHIAMBO",
            "credential": "CRNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Open Arms Internal Medicine & Pediatrics, PC
• Vwaire Jude Ese Orhurhu, MD, MPH
• Krystin Osborne
• Jessica Osman, DO
• Mohamed Osman, MD
• Olivia D. Ott, CNM, CRNP
• Kyle Otto, MD
• Christine Ann Packard, D.O.
• Alexandria Maria Pagana, M.D.
• Timothy James Pagana, MD

• Certified Registered Nurse Anesthetist in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.