Judy D. Peck, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

54180 Issued in KS

Practice address

10500 Quivira Rd
Overland Park, KS 66215-2306

Phone

(816) 763-5446

NPI assigned

Dec 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Central Kansas Anesthesia PA

  • Certified Registered Nurse Anesthetist
  • Great Bend, KS
  • NPI 1497723225

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Johnson County Anesthesiologists, Chartered

  • Anesthesiology Physician
  • Olathe, KS
  • NPI 1811940877

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Kansas Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Overland Park, KS
  • NPI 1104929546
  NPD (past)
• St Joseph Anesthesia Services, P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Kansas City, MO
  • NPI 1659384188
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225015183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 HICKMAN MILLS DR",
            "address_2": "100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641371674",
            "telephone_number": "816-763-5446",
            "fax_number": "816-763-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152306",
            "telephone_number": "816-763-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "JUDY",
        "middle_name": "D.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "070696",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylie Pearce
• Maria D Pearce, PHARMD
• Jamiah Pearson
• Sydney Pearson
• Allison Peck
• Kasey Peck, DPT
• Nathan Peck
• Lucia Anna Pecora-Braun, PHARMD
• Esther Pedersen, DDS
• Pediatric Care Specialists, PA

• Certified Registered Nurse Anesthetist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.