Individual provider Active NPI

Craig Stevens Atkins, CRNA

  • Certified Registered Nurse Anesthetist
  • Broomfield, CO
National Provider Identifier
1356433650
Registry record updated Feb 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1095079 Issued in KY
Practice address
5023 W 120TH Ave
PMB 442
Broomfield, CO 80020-5606
Phone
(859) 582-9827
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1095079 KY Primary

Addresses

Primary practice location

5023 W 120TH Ave
PMB 442
Broomfield, CO 80020-5606

Mailing address

5023 W 120TH Ave
PMB 442
Broomfield, CO 80020-5606
Phone (859) 582-9827

Other identifiers 1

IdentifierTypeStateIssuer
76003062MedicaidMO

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
1095079KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Lone Star Anesthesia Associates, P Nurse Anesthetist, Certified Registered Past Accepting new patients
Texas Professional Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Cumberland Valley Surgical Center, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393113600000",
    "number": "1356433650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 W 120TH AVE",
            "address_2": "PMB 442",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205606",
            "telephone_number": "859-582-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 W 120TH AVE",
            "address_2": "PMB 442",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205606",
            "telephone_number": "859-582-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "CRAIG",
        "middle_name": "STEVENS",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1095079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76003062",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2014; 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.