Active NPI
Kurt R Gabrielson, CRNA
- Certified Registered Nurse Anesthetist
- Edwards, CO
National Provider Identifier
1417923913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN.0005687-CRNA
- Practice address
- 320 Beard Creek Rd Ste 100
Edwards, CO 81632-6426 - Phone
- (970) 569-7400
- Fax
- (817) 877-0350
- NPI assigned
- Feb 24, 2006
- Last updated
- Feb 12, 2019
- Sex
- Male
- 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 | APN.0005687-CRNA | CO | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | R1261534 | MN |
Addresses
Primary practice location
320 Beard Creek Rd Ste 100
Edwards, CO 81632-6426
Mailing address
PO Box 913001
Denver, CO 80291-3001
Phone (817) 334-0530
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 |
|---|---|---|---|
| APN.0005687-CRNA | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of the Rockies LLC | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Lakewood, CO
- NPI 1962739003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1417923913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 913001",
"city": "DENVER",
"state": "CO",
"postal_code": "802913001",
"telephone_number": "817-334-0530",
"fax_number": "817-877-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 BEARD CREEK RD STE 100",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816326426",
"telephone_number": "970-569-7400",
"fax_number": "817-877-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIELSON",
"first_name": "KURT",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "APN.0005687-CRNA",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R1261534",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.