Kent K Babcock, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

036116 Issued in TX

Practice address

353 N Madison
La Grange, TX 78945-2231

Phone

(979) 966-0321

Fax

(979) 968-2722

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220313600000",
    "number": "1154415693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 N MADISON",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452231",
            "telephone_number": "979-966-0321",
            "fax_number": "979-968-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 N MADISON",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452231",
            "telephone_number": "979-966-0321",
            "fax_number": "979-968-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "KENT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "036116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "430064785",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PI",
            "identifier": "81641U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "816414",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles W Anderson, MD
• Margaret Claire Anderson, LMT., MLD/CDT
• Nathan Wallace Anderson, MD
• Athome Community Services, LLC
• Babcock Anesthesia Providers PC
• Baca Anesthesia PC
• William H Bailey, MD
• Banks Pediatrics PLLC
• Taylor Lane Bigon
• Bill D Nolen PA

• Certified Registered Nurse Anesthetist in La Grange, TX
• Providers in La Grange, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.