Individual provider Active NPI

Holly E Ragsdale, CRNA

  • Certified Registered Nurse Anesthetist
  • Owasso, OK
National Provider Identifier
1417191867
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
14017 Issued in TN
Practice address
10909 N 154TH East Ave
Owasso, OK 74055-5466
Phone
(256) 541-6344
NPI assigned
Apr 29, 2009
Last updated
Mar 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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 14017 TN Primary

Addresses

Primary practice location

10909 N 154TH East Ave
Owasso, OK 74055-5466

Mailing address

10909 N 154TH East Ave
Owasso, OK 74055-5466
Phone (256) 541-6344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120312000077 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951451244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia Management IncGroup PAC ID 7911389853, 2 clinicians

Practice addresses (Care Compare)

5801 E 41St St
Suite 801
Tulsa, OK 74135-5630
Phone (918) 504-9686

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
H&H Medical Services, Inc Nurse Anesthetist, Certified Registered CurrentSince May 3, 2013 Accepting new patients
Premier Anesthesia Management Inc CurrentSince Jul 18, 2022 Accepting new patients
Hatton Anesthesia LLC Past Accepting new patients
Hamblen Anesthesia PC Nurse Anesthetist, Certified Registered PastSince Mar 13, 1995 Accepting new patients

Locations

3800 W Okmulgee St
Muskogee, OK 74401
Phone (918) 682-9899

5801 E 41st St
Ste 801
Tulsa, OK 74135
Phone (918) 504-9686

7715 E 91st St
Ste A
Tulsa, OK 74133
Phone (918) 872-7009

Dept 2876
Tulsa, OK 74182

Organizations & group practices 4

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1417191867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 N 154TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555466",
            "telephone_number": "256-541-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 N 154TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555466",
            "telephone_number": "256-541-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGSDALE",
        "first_name": "HOLLY",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "14017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.