Katie Kristine Bates, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CR000741 Issued in SD

Practice address

353 Fairmont Blvd
Rapid City, SD 57701-7375

Phone

(605) 719-1000

Fax

(605) 719-7884

NPI assigned

May 6, 2010

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Northwestern University Womans Medical School, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J R Anesthesia Prof LLC 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• J R Anesthesia Prof LLC

  • Certified Registered Nurse Anesthetist
  • Rapid City, SD
  • NPI 1790066363

  Nurse Anesthetist, Certified Registered, SD

  Medicare reassignment Care Compare group NPD
• Plastic Surgical Center of Rapid City, Prof. L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Rapid City, SD
  • NPI 1760465207
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1104144773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "address_2": "ATTEN MEDICAL STAFF SERVICES",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017375",
            "telephone_number": "605-719-1000",
            "fax_number": "605-719-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "KATIE",
        "middle_name": "KRISTINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CR000741",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Jen Bartholomew, OTA
• Trevor Bartunek, ACT
• Diana R Baschnagel
• Skyler Bascom
• Jacqueline R Basener, LPC-MH, LAC
• Morgan Ashley Bates, RN, FNP-C
• Cindy Baumann-Bourne, LPC-MH QMHP
• Vannesa L Baumgartner, RBT
• Robert John Baune, DNP
• Brian R Baxter, M.D.

• All providers in Rapid City, SD
• Certified Registered Nurse Anesthetist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.