Kristy Renee Rodriguez, RN, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

NUR A 435 Issued in AK

Practice address

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002

Phone

(580) 354-5437

NPI assigned

Mar 4, 2014

Last updated

Mar 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kristy Renee Boosinger Former name

Medicare fee-for-service enrollment

Enrolled in MT, WA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians

CMSC LLCGroup PAC ID 5890602494, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Registered Nurse

State licenses

Practice roles

Locations

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.

• CMSC, LLC

  dba Great Falls Clinic Hospital

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1639109978
  Medicare reassignment Care Compare group NPD
• Washington Gastroenterology PLLC

  • Gastroenterology Physician
  • Tacoma, WA
  • NPI 1306364401

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia of Montana

  • Anesthesiology Physician
  • Great Falls, MT
  • NPI 1265059869

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Paceline Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Bellevue, WA
  • NPI 1417273780

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ascend Anesthesia Associates Mt LLC

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
  • NPI 1336819697

  Nurse Anesthetist, Certified Registered

  NPD
• U S Anesthesia Partners of Montana P C

  • Anesthesiology Physician
  • Billings, MT
  • NPI 1588359855

  Nurse Anesthetist, Certified Registered

  NPD
• Washington Gastroenterology PLLC

  dba Washington Gastroenterology Lab

  • Clinical Medical Laboratory
  • Federal Way, WA
  • NPI 1467011122
  NPD

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

• CMSC, LLC

  dba Great Falls Clinic Hospital

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1639109978
  Care Compare affiliation

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1407271117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NE LAWRIE TATUM RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735073002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NE LAWRIE TATUM RD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735073002",
            "telephone_number": "580-354-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KRISTY",
        "middle_name": "RENEE",
        "credential": "RN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "NUR A 435",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "NUR R 27604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "BOOSINGER",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ileana Denise Robles, RBT
• Sarah Rockstad
• Kristine Rodriguez-Tosado, SA-C
• Desire Rodriguez
• Erika Rafaela Rodriguez
• Stephanie Roebuck, LMFT CANDIDATE, CMII
• Britney Markeeta Rogers
• Dara Rogers
• Joshua Daniel Rogers, DDS
• Lasonia Rogers

• Certified Registered Nurse Anesthetist in Lawton, OK
• Providers in Lawton, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.