Active NPI
Kristina Lynn O'Mara, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 20484A
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203 - Phone
- (704) 355-2000
- NPI assigned
- Jan 27, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 20484A | SC | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203
Mailing address
5025 Airport Center Pkwy BLDG L
Charlotte, NC 28208-5885
Phone (704) 512-7105
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NAN994 | Medicaid | SC | |
| 8053996 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 985-3089
2825 Randolph Rd
Charlotte, NC 28211-1018
Phone (704) 377-1647
Hospital & facility affiliations
- Piedmont Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1886 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Perioperative Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gateway Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Rock Hill, P.a. | Current | Accepting new patients | |
| Providence Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| Mercy Hospital, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
1822 Brunswick Ave
Charlotte, NC 28207
Phone (704) 342-4323
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2825 Randolph Rd
Charlotte, NC 28211
Phone (704) 377-1647
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
3621 Randolph Rd
Charlotte, NC 28211
Phone (704) 206-8800
3735 Glenlake Dr
Ste 250
Charlotte, NC 28208
Phone (704) 749-5801
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
1025 NE Gateway Ct NE
Concord, NC 28025
Phone (704) 920-7020
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294
222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950
4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862
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.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rock Hill, SC
- NPI 1811977200
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Certified Registered Nurse Anesthetist
- Concord, NC
- NPI 1548401789
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1023323128
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1801961875
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1194021998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5025 AIRPORT CENTER PKWY BLDG L",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282085885",
"telephone_number": "704-512-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28203",
"telephone_number": "704-355-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MARA",
"first_name": "KRISTINA",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "20484A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN994",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053996",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.