Active NPI
Kelly Sidlinger, CRNA
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
National Provider Identifier
1346888302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 298892
- Practice address
- 1111 E McDowell Rd
Phoenix, AZ 85006-2612 - Phone
- (602) 839-2000
- NPI assigned
- Dec 20, 2019
- Last updated
- Oct 31, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 124209 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 2022005143 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 557753 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 298892 | AZ | Primary |
Addresses
Primary practice location
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Mailing address
4905 E Villa Rita Dr
Scottsdale, AZ 85254-7560
Phone (785) 221-7030
Other practice location 1
2700 Clay Edwards Dr Ste 240
North Kansas City, MO 64116-3254
Phone (816) 691-2021
Other practice location 2
823 SW Mulvane St
Topeka, KS 66606-1764
Phone (785) 235-3451
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 |
|---|---|---|---|
| 124209 | KS | MD | Critical Care Medicine Registered Nurse |
| 2022005143 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritas Health Corporation | Past | Accepting new patients |
Organizations & group practices 1
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": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1346888302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4905 E VILLA RITA DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852547560",
"telephone_number": "785-221-7030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062612",
"telephone_number": "602-839-2000"
}
],
"practiceLocations": [
{
"address_1": "2700 Clay Edwards Dr Ste 240",
"address_purpose": "LOCATION",
"city": "North Kansas City",
"state": "MO",
"postal_code": "641163254",
"country_code": "US",
"telephone_number": "816-691-2021",
"fax_number": "816-346-7690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "823 SW Mulvane St",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666061764",
"country_code": "US",
"telephone_number": "785-235-3451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDLINGER",
"first_name": "KELLY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "KS",
"license": "124209",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2022005143",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "557753",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "298892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.