Individual provider Active NPI

Amy Katherine Blitt, CRNA

  • Certified Registered Nurse Anesthetist
  • Reston, VA
National Provider Identifier
1396166179
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024179493 Issued in VA
Practice address
1850 Town Center Pkwy
Reston, VA 20190-3204
Phone
(703) 689-9000
NPI assigned
Dec 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA133029 ME
Certified Registered Nurse Anesthetist 367500000X 0024179493 VA Primary

Addresses

Primary practice location

1850 Town Center Pkwy
Reston, VA 20190-3204

Mailing address

311 6TH St SE Apt 1
Washington, DC 20003-2770
Phone (207) 356-2748

Other practice location 1

24440 Stone Springs Blvd
Dulles, VA 20166-2247
Phone (571) 349-4000

Other names 1

  • Amy Katherine Kirk, Cox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201020003937 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446480768 Reassigns benefits to 2 organizations
I20230706003955 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446480768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reston Anesthesia Associates PCGroup PAC ID 2567361124, 52 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000

Hospital & facility affiliations

  • Reston Hospital Center Hospital, Reston, VA, CCN 490107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RNA133029MEMDCertified Registered Nurse Anesthetist
0024179493VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Reston Anesthesia Associates, PC CurrentSince Jun 7, 2023 Accepting new patients
Stonesprings Anesthesia Associates, LTD CurrentSince Jun 24, 2023 Accepting new patients
Surgical Anesthesia Associates, PLLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

607 Herndon Pkwy
Ste 101
Herndon, VA 20170

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

Interoperability endpoints

  • Direct secure messaging: akirk745160@direct.hopkinsmedicine.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1396166179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 6TH ST SE APT 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032770",
            "telephone_number": "207-356-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903204",
            "telephone_number": "703-689-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24440 Stone Springs Blvd",
            "address_purpose": "LOCATION",
            "city": "Dulles",
            "state": "VA",
            "postal_code": "201662247",
            "country_code": "US",
            "telephone_number": "571-349-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLITT",
        "first_name": "AMY",
        "middle_name": "KATHERINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA133029",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024179493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KIRK, COX",
            "middle_name": "KATHERINE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.