Active NPI
Kristy Eller Tyndall, CRNA
- Certified Registered Nurse Anesthetist
- Burlington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 160166
- Practice address
- 1240 Huffman Mill Rd
Burlington, NC 27215 - Phone
- (336) 538-7000
- NPI assigned
- Nov 16, 2005
- 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 | 160166 | NC | Primary |
Addresses
Primary practice location
1240 Huffman Mill Rd
Burlington, NC 27215
Mailing address
3100 Spring Forest Rd Ste 130
Raleigh, NC 27616-2880
Phone (919) 873-9533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00409588 | Other | NC | RAILRAOD-MEDICARE |
| 8052127 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041215000442 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9739146317 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Carolina Anesthesia Associates PLLCMedstream Anesthesia PLLC
Practice addresses (Care Compare)
2410 Montgomery Dr SW
Wilson, NC 27893-4421
Phone (252) 674-1851
800 N Justice St
Hendersonville, NC 28791-3410
Phone (828) 696-1000
Hospital & facility affiliations
- Wakemed, Raleigh Campus
- Wilson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2361 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Raleigh Medical Group, PA | Current | Accepting new patients | |
| Regional Anesthesia, PLLC | Current | Accepting new patients | |
| Carteret County General Hospital Corporation | Current | Accepting new patients | |
| Prolific Anesthesia Services, PLLC | Current | Accepting new patients | |
| Anesthesia Care Services, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171
1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040
2410 Montgomery Dr SW
Wilson, NC 27893
Phone (252) 291-5940
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
NC, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Morehead City, NC
- NPI 1760479331
NC
-
- Certified Registered Nurse Anesthetist
- Forest, VA
- NPI 1609833474
NC, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
NC
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1104962315
Hospital & facility affiliations 4
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": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1275515249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD STE 130",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "919-873-9533",
"fax_number": "844-454-0171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 HUFFMAN MILL RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "27215",
"telephone_number": "336-538-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNDALL",
"first_name": "KRISTY",
"middle_name": "ELLER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "160166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD-MEDICARE",
"identifier": "P00409588",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052127",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.