Active NPI
Katie A McPhillips, CRNA
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
National Provider Identifier
1417209800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.0020169
- Practice address
- 3333 Burnet Ave
ML 2001
Cincinnati, OH 45229-3026 - Phone
- (513) 636-4408
- Fax
- (513) 636-7337
- NPI assigned
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 151591 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.0020169 | OH | Primary |
Addresses
Primary practice location
3333 Burnet Ave
ML 2001
Cincinnati, OH 45229-3026
Mailing address
3333 Burnet Ave
ML 2001
Cincinnati, OH 45229-3026
Phone (513) 636-4408
Other practice location 1
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110-1003
Phone (314) 362-6973
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600420077 | Medicaid | MO | |
| ENROLLED | Medicaid | IL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151591 | MO | MD | Certified Registered Nurse Anesthetist |
| APRN.CRNA.0020169 | OH | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1417209800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 2001",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4408",
"fax_number": "513-636-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 2001",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4408",
"fax_number": "513-636-7337"
}
],
"practiceLocations": [
{
"address_1": "1 Barnes Jewish Hospital Plz",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101003",
"country_code": "US",
"telephone_number": "314-362-6973",
"fax_number": "314-362-1185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCPHILLIPS",
"first_name": "KATIE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "151591",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.0020169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600420077",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.