Kristy Dupus, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

89069 Issued in OK

Practice address

6580 Judson Rd
Longview, TX 75605-7076

Phone

(800) 939-7440

NPI assigned

Sep 14, 2012

Last updated

Sep 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ias Illinois PCGroup PAC ID 9638530991, 79 clinicians

Anesthesia Associates of Oklahoma PLLCGroup PAC ID 7113100470, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Associates of Oklahoma PLLC

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1770891475
  Medicare reassignment Care Compare group NPD
• Ias Illinois PC

  • Anesthesiology Physician
  • Geneva, IL
  • NPI 1265118723

  OK

  Medicare reassignment Care Compare group NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered, OK

  Medicare reassignment NPD
• Boiling Springs Anesthesia LLC

  • Anesthesiology Physician
  • Longview, TX
  • NPI 1306140660

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1205186483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057076",
            "telephone_number": "800-939-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057076",
            "telephone_number": "800-939-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPUS",
        "first_name": "KRISTY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "89069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Laura Dula, M.A. CCC / SLP
• Lewis Alvin Duncan, M.D.
• Dawn Dunn
• Travis Mark Dunn, R.PH.
• Christopher L Dunnahoo, MD
• Kimberly Dawn Durham, LPC
• Mark Hutchison Durham, LCSW
• Margaret Jan Duszik, MT
• Charles Darren Duvall, M.D.
• Linda Duvall, M.ED., L.P.C.

• Certified Registered Nurse Anesthetist in Longview, TX
• Providers in Longview, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.