Glory Kendi Gituma, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Athens, TX
NPI 1174007702 · NPPES record last updated Sep 19, 2018
Key facts
- NPI
- 1174007702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- AP138787 (TX)
- Practice address
- 510 E Clinton Ave
Athens, TX 75751-3410 - Phone
- (903) 675-1186
- NPI assigned
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergenchealth PLLC
MCH Professional Care Hospital Based
Practice addresses (Care Compare)
2900 S Loop
256 Palestine Regional Med Ctr
Palestine, TX 75801-6958
Phone (903) 731-1147
500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 640-2401
7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000
Hospital & facility affiliations
- Medical Center Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.41 of 100
- Quality
- 72.52
- Improvement activities
- 40
- Cost
- 81.49
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181005001931 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4688926405 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCH Professional Care Hospital Based | Current |
Accepting new patients | |
| Harris County Med Surg Partners PLLC | Current |
Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Houston Anesthesia Services PLLC | Current |
Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anderson County Anesthesia Associates, PA | Past | Accepting new patients |
Locations
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
6200 Savoy Dr
Ste 1202
Houston, TX 77036
Phone (254) 220-5560
500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000
2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161
421 School St
Ste 110
Tomball, TX 77375
Phone (281) 357-1977
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP138787 | TX | Yes |
Addresses
Primary practice location
510 E Clinton Ave
Athens, TX 75751-3410
Mailing address
PO Box 270
Athens, TX 75751-0270
Phone (903) 677-1000
Other providers in Athens, TX
- Kirk F Gautier
- Renessa Leigh Gerhardt
- Gibson Pharmacy, LLC
- Gibson Pharmacy, LLC
- Tyler Ann Gipson
- Heather Goggans
- Kristi Shawn Gore-Stewart
- Gabrielle Graham
- Diana B Graumlich
- Green Oaks SNF LLC
All providers in Athens, TX · Certified Registered Nurse Anesthetist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.