Active NPI
Katie Kussow Deen
- Certified Registered Nurse Anesthetist
- Greer, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 27883
- Practice address
- 223 Ralston Rd
Greer, SC 29651-7319 - Phone
- (912) 704-7828
- NPI assigned
- Feb 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 27883 | SC | Primary |
Addresses
Primary practice location
223 Ralston Rd
Greer, SC 29651-7319
Mailing address
2403 Talking Rock Dr
Cary, NC 27519-1865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6193
Hospital & facility affiliations
- Spartanburg Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27883 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current | Accepting new patients | |
| Pelham Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pelham Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554
853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928
Organizations & group practices 5
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
-
- Cardiovascular Disease Physician
- Greer, SC
- NPI 1962644773
Nurse Anesthetist, Certified Registered
-
- Pain Medicine Physician
- Greer, SC
- NPI 1942960844
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1518998038
Nurse Anesthetist, Certified Registered
-
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1154028652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 TALKING ROCK DR",
"city": "CARY",
"state": "NC",
"postal_code": "275191865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 RALSTON RD",
"city": "GREER",
"state": "SC",
"postal_code": "296517319",
"telephone_number": "912-704-7828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEN",
"first_name": "KATIE",
"middle_name": "KUSSOW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-14",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "27883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.