Active NPI
Kathleen D Sprague, CRNA
- Certified Registered Nurse Anesthetist
- Warren, OH
National Provider Identifier
1316993744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN111618
- Practice address
- 1350 E Market St
Warren, OH 44483-6608 - Phone
- (330) 841-9230
- Fax
- (330) 841-9571
- NPI assigned
- May 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN111618 | OH | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN344973L | PA |
Addresses
Primary practice location
1350 E Market St
Warren, OH 44483-6608
Mailing address
3622 Belmont Ave
Suite 1
Youngstown, OH 44505-1450
Phone (330) 759-9350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0847669 | Medicaid | OH |
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 |
|---|---|---|---|
| RN111618 | OH | MD | Certified Registered Nurse Anesthetist |
| RN344973L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Anesthesia Associates,Inc | Past | Accepting new patients | |
| Associates in Anesthesiology, Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Youngstown, OH
- NPI 1538117460
-
- Specialist
- Youngstown, OH
- NPI 1346234044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316993744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3622 BELMONT AVE",
"address_2": "SUITE 1",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051450",
"telephone_number": "330-759-9350",
"fax_number": "330-759-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444836608",
"telephone_number": "330-841-9230",
"fax_number": "330-841-9571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRAGUE",
"first_name": "KATHLEEN",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN111618",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN344973L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0847669",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.