Individual provider Active NPI

Kathleen Rae Stigar, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
National Provider Identifier
1154336998
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP2069532 Issued in FL
Practice address
8901 Conference Dr
St Johns Surgery Center
Ft Myers, FL 33919
Phone
(239) 481-8833
Fax
(239) 481-7898
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP2069532 FL Primary
Certified Registered Nurse Anesthetist 367500000X CRNA30690 FL

Addresses

Primary practice location

8901 Conference Dr
St Johns Surgery Center
Ft Myers, FL 33919

Mailing address

24889 Valdez CT
Bonita Springs, FL 34135-6417
Phone (239) 495-9919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111005000327 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951573443 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CRNA30690FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Centurian Anesthesia Management Nurse Anesthetist, Certified Registered CurrentSince Aug 20, 2022 Accepting new patients
St. Johns Surgery Center, LLC Current Accepting new patients
Southwest Florida Anesthesia Plus Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Outpatient Specialists Past Accepting new patients
Kenneth W. Backstrand & Associates, MD,PA Past Accepting new patients

Locations

6091 S Pointe Blvd
Fort Myers, FL 33919
Phone (941) 466-2020

6241 Arc Way
Ste B
Fort Myers, FL 33966
Phone (239) 278-9955

6241 Arc Way
Fort Myers, FL 33966
Phone (239) 278-9955

8901 Conference Dr
Fort Myers, FL 33919
Phone (239) 466-9555

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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1154336998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24889 VALDEZ CT",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341356417",
            "telephone_number": "239-495-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CONFERENCE DR",
            "address_2": "ST JOHNS SURGERY CENTER",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "33919",
            "telephone_number": "239-481-8833",
            "fax_number": "239-481-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIGAR",
        "first_name": "KATHLEEN",
        "middle_name": "RAE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2069532",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "CRNA30690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.