Individual provider Active NPI

Kristina Alexis Whiteley

  • Certified Registered Nurse Anesthetist
  • Victoria, TX
National Provider Identifier
1184336901
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
142944 Issued in TX
Practice address
2701 Hospital Dr
Victoria, TX 77901-5749
Phone
(361) 582-5728
NPI assigned
Dec 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 142944 TX Primary

Addresses

Primary practice location

2701 Hospital Dr
Victoria, TX 77901-5749

Mailing address

1003 Fern LN
Victoria, TX 77904-2184
Phone (512) 757-0476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230216000403 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133591381 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Am Anesthesia Services of South Texas-Cuero PLLCGroup PAC ID 0941567234, 7 clinicians

Practice addresses (Care Compare)

2550 N Esplanade St
Cuero, TX 77954-4736
Phone (361) 275-6191

Hospital & facility affiliations

  • Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
142944TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen'S Medical Center County of Victoria CurrentSince Dec 14, 2022 Accepting new patients
Cowboy Anesthesia Services PLLC CurrentSince Jul 15, 2023 Accepting new patients
Lavaca Hospital District CurrentSince Jun 15, 2025 Accepting new patients
Lavaca Hospital District Current Accepting new patients
Am Anesthesia Services of South Texas-Cuero PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2023 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

1400 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

105 James Coleman Dr
Victoria, TX 77904
Phone (361) 578-0234

2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113

10141 US 59 Hwy
Wharton, TX 77488
Phone (281) 491-6808

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1184336901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 FERN LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042184",
            "telephone_number": "512-757-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015749",
            "telephone_number": "361-582-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELEY",
        "first_name": "KRISTINA",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "142944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.