Individual provider Active NPI

Christina M Awtrey, CRNA

  • Certified Registered Nurse Anesthetist
  • Springfield, MA
National Provider Identifier
1245509215
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2276484 Issued in MA
Practice address
908 Allen St
Springfield, MA 01118-2533
Phone
(413) 796-7494
NPI assigned
Dec 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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 2276484 MA Primary

Addresses

Primary practice location

908 Allen St
Springfield, MA 01118-2533

Mailing address

690 Canton St
Ste 325
Westwood, MA 02090-2324
Phone (781) 407-7713

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120326000154 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709046956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulse Anesthesia Consultants PCGroup PAC ID 8921479809, 16 clinicians

Practice addresses (Care Compare)

50 Wason Ave
FL 2
Springfield, MA 01107-1280
Phone (413) 794-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2276484MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pulse Anesthesia Consultants PC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Springfield Anesthesia Service, Inc. CurrentSince Feb 21, 2012 Accepting new patients
Umass Memorial Medical Group Inc Past Accepting new patients

Locations

908 Allen St
Springfield, MA 01118
Phone (413) 732-5139

100 Wason Ave
Springfield, MA 01107
Phone (413) 794-2442

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

50 Wason Ave
Fl 2
Springfield, MA 01107
Phone (413) 286-1020

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1245509215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CANTON ST",
            "address_2": "STE 325",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902324",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 ALLEN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011182533",
            "telephone_number": "413-796-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWTREY",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "2276484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.