Katrina Lynette Cheek, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Fort Bragg, NC

NPI 1134424401 · NPPES record last updated Jan 18, 2011

Key facts

NPI
1134424401
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
203654 (NC)
Practice address
Womack Army Medical Ctr
Fort Bragg, NC 28310-0001
Phone
(910) 970-6323
NPI assigned
Jan 18, 2011
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Consultants of Augusta, PC (25 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NC, GA

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

Practice roles

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

Locations

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

507 N Lindsay St
High Point, NC 27262

1580 Skeet Club Rd
High Point, NC 27265
Phone 336883002912268

Interoperability endpoints

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

Specialties & licenses

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

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 18, 2011.

{
    "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

All providers in Fort Bragg, NC · Certified Registered Nurse Anesthetist in North Carolina

Sources for this page

Verify at the official NPI Registry.