Individual provider Active NPI

Priscilla Patterson, CRNA

  • Certified Registered Nurse Anesthetist
National Provider Identifier
1316958416
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
616626 Issued in TX
Practice address
NA
NA, NA 00000
UM
Phone
(000) 011-1111
NPI assigned
Aug 11, 2006
Last updated
Apr 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 616626 TX Primary
Certified Registered Nurse Anesthetist 367500000X 66596 CO

Addresses

Primary practice location

NA
NA, NA 00000
UM

Mailing address

30 Huntington Beach Dr
Colorado Springs, CO 80921-3228
Phone (719) 433-6221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
66596COMDCertified Registered Nurse Anesthetist
616626TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC Current Accepting new patients
Novamed Surgery Center of Denver LLC Past Accepting new patients
Novamed Surgery Center of Colorado Springs, LLC Past Accepting new patients
Sterling Regional Medcenter Past Accepting new patients
Colorado Personnel Resources Inc Past Accepting new patients

Locations

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900

715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1316958416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HUNTINGTON BEACH DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213228",
            "telephone_number": "719-433-6221"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "NA",
            "city": "NA",
            "state": "NA",
            "postal_code": "00000",
            "telephone_number": "000-011-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "PRISCILLA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "616626",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "66596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.