Active NPI
Priscilla Patterson, CRNA
- Certified Registered Nurse Anesthetist
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 616626
- Practice address
- NA
NA, NA 00000
UM - Phone
- (000) 011-1111
- NPI assigned
- Aug 11, 2006
- Last updated
- Apr 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 66596 | CO | MD | Certified Registered Nurse Anesthetist |
| 616626 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Optum Colorado Springs
- General Practice Physician
- Colorado Springs, CO
- NPI 1407252828
-
- Anesthesiology Physician
- Aurora, CO
- NPI 1972555928
-
dba Premier Surgery Center
- Ambulatory Surgical Clinic/Center
- Colorado Springs, CO
- NPI 1750386322
-
dba Cherry Hills Surgery Center
- Ambulatory Surgical Clinic/Center
- Englewood, CO
- NPI 1508862624
-
- General Acute Care Hospital
- Sterling, CO
- NPI 1942238555
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.