Individual provider Active NPI

Holly Christina Stubbs, CRNA

  • Certified Registered Nurse Anesthetist
  • Independence, MO
National Provider Identifier
1194062471
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
217065 Issued in GA
Practice address
4741 S Cochise Dr
Independence, MO 64055-6974
Phone
(816) 478-1230
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 217065 GA Primary
Certified Registered Nurse Anesthetist 367500000X 2019043112 MO

Addresses

Primary practice location

4741 S Cochise Dr
Independence, MO 64055-6974

Mailing address

174 Butler Lake Dr
Saint Simons Island, GA 31522-5437
Phone (803) 238-6913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140508001666 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335385608 Reassigns benefits to 6 organizations
I20200109001923 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335385608 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Anesthesiology of Texas PLLCGroup PAC ID 1254751407, 134 clinicians

Practice addresses (Care Compare)

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-3322

200 Commodore St
Pratt, KS 67124-2903
Phone (620) 672-7451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
217065GAMDCertified Registered Nurse Anesthetist
2019043112MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2019 Accepting new patients
Serenity Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 17, 2018 Accepting new patients
Sarasota Anesthesiologists, PA CurrentSince Apr 1, 2014 Accepting new patients
Alta Anesthesia Associates of Georgia, PC Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2013 Accepting new patients
Anesthesia Associates of Southwest Florida LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2019 Accepting new patients
Lakewood Ranch Anesthesia PL Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2014 Accepting new patients
Blue Water Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Clay County Medical Center Nurse Anesthetist, Certified Registered CurrentSince Feb 17, 2026 Accepting new patients
Midwest Anesthesia Associates, PA Nurse Anesthetist, Certified Registered CurrentSince May 12, 2020 Accepting new patients
Eye Care, LLC CurrentSince Jan 1, 2020 Accepting new patients
Clay County Medical Center CurrentSince Feb 17, 2026 Accepting new patients
Florida Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 2, 2019 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Jan 15, 2023 Accepting new patients
Quantum Anesthesia Services PA CurrentSince Sep 1, 2019 Accepting new patients

Locations

200 3rd Ave W
Ste 170
Bradenton, FL 34205
Phone (941) 782-5434

5817 21st Ave W
Bradenton, FL 34209
Phone (941) 794-0379

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

931 Toppino Dr
Key West, FL 33040
Phone (305) 293-1801

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

1261 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 366-1164

3325 S Tamiami Trl
Ste 100
Sarasota, FL 34239
Phone (941) 522-3480

1941 Waldemere St
Sarasota, FL 34239
Phone (941) 366-2360

2800 Bahia Vista St
Ste 300
Sarasota, FL 34239
Phone (941) 306-3166

2089 Hawthorne St
Ste 100
Sarasota, FL 34239
Phone (941) 952-1145

7441 US 27 N
Sebring, FL 33870
Phone (863) 382-0385

1220 E Venice Ave
Venice, FL 34285
Phone (941) 441-1018

3100 Kemble Ave
Brunswick, GA 31520
Phone (880) 233-2570

777 Gloucester St
Brunswick, GA 31520
Phone (912) 264-9930

617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144

11500 Granada St
Leawood, KS 66211
Phone (816) 350-6902

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

1310 Westloop Pl
Ste A
Manhattan, KS 66502
Phone (720) 515-9186

1829 College Ave
Manhattan, KS 66502
Phone (785) 776-5100

200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Manhattan Surgical HospitalManhattan, KS, CCN 170190 Hospital General Partnership Interest Jan 26, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1194062471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 BUTLER LAKE DR",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315225437",
            "telephone_number": "803-238-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 S COCHISE DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556974",
            "telephone_number": "816-478-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "HOLLY",
        "middle_name": "CHRISTINA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "217065",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2019043112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.