Active NPI
Eva Loiuse Kilbourne, CRNA
- Certified Registered Nurse Anesthetist
- Gilbert, AZ
National Provider Identifier
1154429264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA0527
- Practice address
- 2563 S Val Vista Dr
Suite 101
Gilbert, AZ 85295-1804 - Phone
- (480) 786-6655
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA0527 | AZ | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | R0020732 | OK |
Addresses
Primary practice location
2563 S Val Vista Dr
Suite 101
Gilbert, AZ 85295-1804
Mailing address
600 S Dobson Rd
Suite a-1
Chandler, AZ 85224-5678
Phone (480) 786-6655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0020732 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesa Az Endoscopy ASC LLC | Current | Accepting new patients | |
| Clinical Partners PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Okmulgee Memorial Hospital, Inc | Past | Accepting new patients | |
| Nurse Anesthesia Professionals Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiologists of Bartlesville | Past | Accepting new patients | |
| Omh Home Health | Past | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Past | Accepting new patients |
Locations
603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405
610 E Baseline Rd
Tempe, AZ 85283
Phone (480) 969-0405
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 7
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.
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1770557233
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Pain Medicine (Anesthesiology) Physician
- Bartlesville, OK
- NPI 1407870066
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1215995816
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Joplin, MO
- NPI 1790794964
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1083616221
-
- Home Health Agency
- Okmulgee, OK
- NPI 1831191543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1154429264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S DOBSON RD",
"address_2": "SUITE A-1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245678",
"telephone_number": "480-786-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2563 S VAL VISTA DR",
"address_2": "SUITE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951804",
"telephone_number": "480-786-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILBOURNE",
"first_name": "EVA",
"middle_name": "LOIUSE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "CRNA0527",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0020732",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.