Active NPI
Katherine Sara Streidl, CRNA
- Certified Registered Nurse Anesthetist
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704310635
- Practice address
- 11800 E 12 Mile Rd
Warren, MI 48093-3472 - Phone
- (586) 573-5000
- NPI assigned
- Mar 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 4704310635 | MI | Primary |
Addresses
Primary practice location
11800 E 12 Mile Rd
Warren, MI 48093-3472
Mailing address
1032 N Connecticut Ave
Royal Oak, MI 48067-1403
Phone (231) 327-6294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-2909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Macomb-Oakland Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health Macomb Oakland Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| St Mary Mercy Hospital Crna | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
7924 Solutions Ctr Dr
Chicago, IL 60677
7920 Solutions Ctr Dr
Chicago, IL 60677
350 E Devon Ave
Itasca, IL 60143
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
Interoperability endpoints
- kstreidl1291274@direct.trinity-health.org
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Livonia, MI
- NPI 1063602092
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Warren, MI
- NPI 1396789434
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Madison Heights, MI
- NPI 1871793505
Nurse Anesthetist, Certified Registered
-
- Social Worker
- Warren, MI
- NPI 1548609761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583366400000",
"number": "1194350645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 N CONNECTICUT AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671403",
"telephone_number": "231-327-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480933472",
"telephone_number": "586-573-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREIDL",
"first_name": "KATHERINE",
"middle_name": "SARA",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704310635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.