Kenneth Riebeling, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

093006155 Issued in OR

Practice address

444 NW Elks Dr
Corvallis, OR 97330-3745

Phone

(541) 754-1374

NPI assigned

Jul 17, 2006

Last updated

Jun 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Bay Group Anesthesia Services, PC

  • Anesthesiology Physician
  • Coos Bay, OR
  • NPI 1619920014
  NPD (past)
• McKenzie Anesthesia Group, P.C.

  • Anesthesiology Physician
  • Springfield, OR
  • NPI 1194869834
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1346267846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85463 SVARVERUD RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974059427",
            "telephone_number": "541-756-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NW ELKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303745",
            "telephone_number": "541-754-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEBELING",
        "first_name": "KENNETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "093006155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan J Richmond
• Sydney Alexandra Richter
• Edward H Rico
• Emma Riddle
• Madelyn Paige Riddle
• Ashley Ellen Riggs, PT
• Elizabeth H. Riley
• Ariel Nicole Barrus Rinaldi, MD
• Abby Lynn Rinehart
• Matthias Ringelmann, DO

• Certified Registered Nurse Anesthetist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Certified Registered Nurse Anesthetist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.