Active NPI
Sandra K Flemming-Kottman, CRNA
- Certified Registered Nurse Anesthetist
- Troy, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 035456
- Practice address
- 1000 E Cherry St
Troy, MO 63379-1513 - Phone
- (636) 528-3329
- NPI assigned
- Jun 22, 2005
- Last updated
- Dec 2, 2013
- 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 | 035456 | MO | Primary |
Addresses
Primary practice location
1000 E Cherry St
Troy, MO 63379-1513
Mailing address
PO Box 38
Troy, MO 63379-0038
Phone (636) 528-3389
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430062504 | Other | MO | RAILROAD MEDICARE |
| 912769064 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (636) 916-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035456 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwest Anesthesia LTD | Past | Accepting new patients | |
| Freeman Neosho Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Lutheran Hospital Association of the San Luis Valley | Past | Accepting new patients | |
| Midwest Anesthesia Inc. | Past | Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Past | Accepting new patients |
Locations
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Nurse Anesthetist, Certified Registered
-
dba Freeman Neosho Anesthesiology
- Anesthesiology Physician
- Neosho, MO
- NPI 1164451746
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1285717587
-
dba Cuba Medical Office
- Rural Health Clinic/Center
- Cuba, MO
- NPI 1396827408
-
- Anesthesiology Physician
- Bridgeton, MO
- NPI 1114917374
-
dba San Luis Valley Health Regional Medical Center
- General Acute Care Hospital
- Alamosa, CO
- NPI 1235181744
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Barnes-Jewish St Peters Hospital
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1295731560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38",
"city": "TROY",
"state": "MO",
"postal_code": "633790038",
"telephone_number": "636-528-3389",
"fax_number": "636-528-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E CHERRY ST",
"city": "TROY",
"state": "MO",
"postal_code": "633791513",
"telephone_number": "636-528-3329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMMING-KOTTMAN",
"first_name": "SANDRA",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "035456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430062504",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "912769064",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.