Brenda Rae Rutherford, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2002021268 Issued in MO

Practice address

209 NW North Ridge Drive, Suite B
Anesthesia Services of Blue Springs
Blue Springs, MO 64015-6320

Phone

(816) 988-8415

Fax

(816) 988-8395

NPI assigned

Jun 17, 2005

Last updated

Jan 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Brenda Rae Cronk Former name

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates of Kansas City PAGroup PAC ID 1951206168, 214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
• Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208

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

• Anesthesia Associates of Kansas City PA

  • Anesthesiology Physician
  • Overland Park, KS
  • NPI 1174504732

  MO

  Medicare reassignment Care Compare group NPD
• Advivum Anesthesiology PC

  • Pain Medicine (Anesthesiology) Physician
  • Kansas City, MO
  • NPI 1851338735
  NPD (past)
• Northland Anesthesiology Inc

  • Anesthesiology Physician
  • North Kansas City, MO
  • NPI 1346341310
  NPD (past)
• Associated Anesthesiologists, Inc.

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1891733598
  NPD (past)
• Midwest Heart & Vascular Specialists, LLC

  • Cardiovascular Disease Physician
  • Overland Park, KS
  • NPI 1760736615
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth South Overland Park, Inc.

  dba AdventHealth South Overland Park

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1316536253
  Care Compare affiliation
• Midwest Division - MMC, LLC

  dba Menorah Medical Center

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1255378337
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1154326874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NW NORTH RIDGE DRIVE, SUITE B",
            "address_2": "ANESTHESIA SERVICES OF BLUE SPRINGS",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156320",
            "telephone_number": "816-988-8415",
            "fax_number": "816-988-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NW NORTH RIDGE DRIVE, SUITE B",
            "address_2": "ANESTHESIA SERVICES OF BLUE SPRINGS",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156320",
            "telephone_number": "816-988-8415",
            "fax_number": "816-988-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "BRENDA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0081080",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2002021268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "CRONK",
            "middle_name": "RAE",
            "prefix": "MISS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Rubin, PTA
• Jennifer R Rucker, FNP-C
• Jamie S Russell, SLP
• Rustici Wellness Center
• Wade Rustici, D.C.
• Amelia Noreen Ryan, PTA
• Kathryn Ryan, ARNP
• Stuart Ryder, DVM
• Saint Luke's Physician Group Inc
• Amber Salfen, APRN-FNP

• Certified Registered Nurse Anesthetist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.