Individual provider Active NPI

Katrina Lynette Cheek, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Bragg, NC
National Provider Identifier
1134424401
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
203654 Issued in NC
Practice address
Womack Army Medical Ctr
Fort Bragg, NC 28310-0001
Phone
(910) 970-6323
NPI assigned
Jan 18, 2011
Last updated
Jan 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 203654 NC Primary

Addresses

Primary practice location

Womack Army Medical Ctr
Fort Bragg, NC 28310-0001

Mailing address

2302 Yorkshire Dr
Greensboro, NC 27406-9403
Phone (336) 254-0593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130227000203 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961657812 Reassigns benefits to 2 organizations
I20200325002943 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961657812 Reassigns benefits to 1 organization

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)

393 N Belair Rd
Evans, GA 30809-3096
Phone (706) 854-8934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Consultants of Augusta, PC Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2020 Accepting new patients
LJP Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 5, 2013 Accepting new patients
Gastroenterology Consultants of Augusta, PC Current Accepting new patients

Locations

393 N Belair Rd
Evans, GA 30809
Phone (706) 854-8934

1580 Skeet Club Rd
High Point, NC 27265
Phone 336883002912268

507 N Lindsay St
High Point, NC 27262

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15547/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1134424401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 YORKSHIRE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274069403",
            "telephone_number": "336-254-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WOMACK ARMY MEDICAL CTR",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-970-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEEK",
        "first_name": "KATRINA",
        "middle_name": "LYNETTE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "203654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.