Active NPI
Krystal R Hough
- Certified Registered Nurse Anesthetist
- Kenmore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 103884
- Practice address
- 2950 Elmwood Ave
Kenmore, NY 14217-1304 - Phone
- (716) 874-1098
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- 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 | 103884 | NY | Primary |
Addresses
Primary practice location
2950 Elmwood Ave
Kenmore, NY 14217-1304
Mailing address
2333 Elmwood Ave
Suite 2
Kenmore, NY 14217-2646
Phone (716) 874-1098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103884 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endoscopy Center of Niagara, LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Buffalo Surgery Center LLC | Current | Accepting new patients | |
| Endoscopy Center of Western New York LLC | Current | Accepting new patients |
Locations
3921 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6520
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
6930 Williams Rd
Ste 3010
Niagara Falls, NY 14304
Phone (716) 284-3264
60 Maple Rd
#2
Williamsville, NY 14221
Phone (716) 332-1000
Organizations & group practices 4
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.
-
- Ambulatory Surgical Clinic/Center
- Amherst, NY
- NPI 1508863242
-
- Ambulatory Surgical Clinic/Center
- Niagara Falls, NY
- NPI 1780021188
-
- Ambulatory Surgical Clinic/Center
- Williamsville, NY
- NPI 1063419513
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1255714762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 ELMWOOD AVE",
"address_2": "SUITE 2",
"city": "KENMORE",
"state": "NY",
"postal_code": "142172646",
"telephone_number": "716-874-1098",
"fax_number": "716-874-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 ELMWOOD AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171304",
"telephone_number": "716-874-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUGH",
"first_name": "KRYSTAL",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "103884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.