Evelyn Sedivy, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

21065 Issued in OK

Practice address

750 NE 13TH St
Oac 200
Oklahoma City, OK 73104-5010

Phone

(405) 271-4351

NPI assigned

Aug 3, 2006

Last updated

Feb 24, 2011By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Canadian Valley Anesthesia Services

  dba INTEGRIS Canadian Valley Anesthesia Services

  • Anesthesiology Physician
  • Yukon, OK
  • NPI 1770541385
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1427066729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST",
            "address_2": "ORI 236",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-271-1515",
            "fax_number": "405-271-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST",
            "address_2": "OAC 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045010",
            "telephone_number": "405-271-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDIVY",
        "first_name": "EVELYN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "21065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100785420A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Secrest, MSW, LCSW
• Secret of the Heart Transitional Living
• Lauren Michelle Secrist, DNP, APRN, PMHNP-BC
• Mary Anne Secrist, MS, RN, CNS
• Madeline Jessop Sedgwick
• Courtney Brooke See Elizondo, M.ED., LPC
• Kaehukaionakoolau Jazlyn See
• Kaitlin Ashley Seeley
• Lavette Michelle Seeley, M.ED
• Andrew Beck Seely

• Certified Registered Nurse Anesthetist in Oklahoma City, OK
• Providers in Oklahoma City, 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 Feb 24, 2011; 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.