Individual provider Active NPI

Douglas Duane Krauth, CRNA ARNP

  • Certified Registered Nurse Anesthetist
  • Storm Lake, IA
National Provider Identifier
1396707410
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D040615 Issued in IA
Practice address
1525 West 5TH St
Storm Lake, IA 50588
Phone
(712) 730-0127
Fax
(712) 730-0127
NPI assigned
Apr 4, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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 D040615 IA Primary

Addresses

Primary practice location

1525 West 5TH St
Storm Lake, IA 50588

Mailing address

207 Stoney Point Dr
Storm Lake, IA 50588-7709
Phone (712) 730-0127

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

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1396707410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 STONEY POINT DR",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505887709",
            "telephone_number": "712-730-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 WEST 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "50588",
            "telephone_number": "712-730-0127",
            "fax_number": "712-730-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUTH",
        "first_name": "DOUGLAS",
        "middle_name": "DUANE",
        "name_prefix": "Mr.",
        "credential": "CRNA  ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D040615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.