Active NPI
Clinton Risdon
- Certified Registered Nurse Anesthetist
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP129981
- Practice address
- 3419 22ND St
Lubbock, TX 79410-1334 - Phone
- (806) 796-3000
- Fax
- (806) 796-3006
- NPI assigned
- Jan 7, 2016
- Sex
- Male
- Sole proprietor
- No
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 | AP129981 | TX | Primary |
Addresses
Primary practice location
3419 22ND St
Lubbock, TX 79410-1334
Mailing address
3419 22ND St
Lubbock, TX 79410-1334
Phone (806) 796-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3610 24TH St
Suite B
Lubbock, TX 79410-2014
Phone (806) 797-1015
5115 80TH St
Lubbock, TX 79424-3017
Phone (806) 788-4368
602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 743-2800
Hospital & facility affiliations
- University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP129981 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Texas Eye PA | Current | Accepting new patients | |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Texas Digestive Disease Center, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| West Texas Eye PA | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| South Plains Pathology Inc | Past | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Past | Accepting new patients |
Locations
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
3610 24th St
Lubbock, TX 79410
Phone (806) 793-3141
3601 4th St
#1B350K
Lubbock, TX 79430
Phone (806) 743-2981
5115 80th St
Lubbock, TX 79424
Phone (806) 788-4368
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
5109 80th St
Lubbock, TX 79424
Phone (806) 792-5900
12210 Quaker Ave
Lubbock, TX 79424
Phone (806) 792-5900
3610 24th St
Ste B
Lubbock, TX 79410
Phone (806) 797-1015
3611 50th St
Lubbock, TX 79413
Phone (806) 792-5900
805 W Wadley Ave
Midland, TX 79705
Phone (806) 792-5900
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
Organizations & group practices 11
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
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Medical Specialty Clinic/Center
- Lubbock, TX
- NPI 1720299381
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Ophthalmology Physician
- Lubbock, TX
- NPI 1184733586
-
- Certified Registered Nurse Anesthetist
- Flower Mound, TX
- NPI 1114270931
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Beaumont, TX
- NPI 1548817471
Nurse Anesthetist, Certified Registered
-
- Podiatrist
- Lubbock, TX
- NPI 1538239769
-
- Durable Medical Equipment & Medical Supplies
- Midland, TX
- NPI 1063212157
-
- Clinical Medical Laboratory
- Lubbock, TX
- NPI 1942815964
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1245696178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3419 22ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101334",
"telephone_number": "806-796-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419 22ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101334",
"telephone_number": "806-796-3000",
"fax_number": "806-796-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISDON",
"first_name": "CLINTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-07",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP129981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.