Individual provider Active NPI

Amy Lashay Groom, CRNA

  • Certified Registered Nurse Anesthetist
  • Topeka, KS
National Provider Identifier
1225699549
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
557729 Issued in KS
Practice address
1500 SW 10TH Ave
Topeka, KS 66604-1301
Phone
(785) 354-6000
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 557729 KS Primary

Addresses

Primary practice location

1500 SW 10TH Ave
Topeka, KS 66604-1301

Mailing address

823 SW Mulvane St Ste 210
Topeka, KS 66606-1679

Other practice location 1

2660 SW 3rd St
Topeka, KS 66606-2442
Phone (785) 270-8000

Other practice location 2

920 SW Lane St
Topeka, KS 66606-2549
Phone (785) 270-4426

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kelly@aaot.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191017000776 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224369566 Reassigns benefits to 2 organizations

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
Kansas Spine Anesthesia Corporation PAGroup PAC ID 1153586821, 56 clinicians

Practice addresses (Care Compare)

3333 N Webb Rd
Wichita, KS 67226-8123
Phone (316) 462-5000

Hospital & facility affiliations

  • Kansas Spine & Specialty Hospital, LLC Hospital, Wichita, KS, CCN 170196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
557729KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Spine Anesthesia Corporation PA Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients

Locations

3333 N Webb Rd
Wichita, KS 67226
Phone (316) 462-5000

2818 N Greenwich Rd
Wichita, KS 67226
Phone (316) 685-2207

4013 N Ridge Rd
Ste 100
Wichita, KS 67205
Phone (316) 722-8015

7550 W Village Cir
Ste 2
Wichita, KS 67205
Phone (316) 838-8388

7550 W Village Cir
Ste B
Wichita, KS 67205
Phone (316) 838-8388

3223 N Webb Rd
Ste 5
Wichita, KS 67226
Phone (316) 462-5000

3121 N Webb Rd
Ste 100
Wichita, KS 67226

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1225699549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 SW MULVANE ST STE 210",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041301",
            "telephone_number": "785-354-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2660 SW 3rd St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666062442",
            "country_code": "US",
            "telephone_number": "785-270-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 SW Lane St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666062549",
            "country_code": "US",
            "telephone_number": "785-270-4426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROOM",
        "first_name": "AMY",
        "middle_name": "LASHAY",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kelly@aaot.org",
            "affiliation": "Y",
            "endpointDescription": "business contact",
            "address_1": "823 SW Mulvane St Ste 210",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666061679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.