Active NPI
Simona Luckow, CRNA
- Certified Registered Nurse Anesthetist
- Hot Springs, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C003152
- Practice address
- 300 Werner St
Hot Springs, AR 71913-6406 - Phone
- (501) 664-4532
- NPI assigned
- Apr 8, 2016
- Last updated
- Aug 16, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R079370 | AR | |
| Certified Registered Nurse Anesthetist | 367500000X | AP143384 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | C003152 | AR | Primary |
Addresses
Primary practice location
300 Werner St
Hot Springs, AR 71913-6406
Mailing address
500 S University Ave Ste 500
Little Rock, AR 72205-5307
Phone (501) 664-4532
Other practice location 1
4301 W Markham St # 515
Little Rock, AR 72205-7101
Phone (501) 686-1146
Other practice location 2
2602 Saint Michael Dr Ste 301
Texarkana, TX 75503-5206
Phone (903) 614-5258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Werner St
Hot Springs, AR 71913-6406
Phone (501) 622-1930
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R079370 | AR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| Harris and Theodore Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McGowan Court Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pad Specialists - Little Rock PLLC | Past | Accepting new patients |
Locations
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
151 McGowan Ct
Hot Springs National Park, AR 71913
Phone (501) 623-4101
300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
Ste 653
Little Rock, AR 72202
13501 Chenal Pkwy
Ste 102
Little Rock, AR 72211
Phone (501) 451-7843
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#515
Little Rock, AR 72205
Phone (501) 603-1656
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
6119 Midtown Ave
Ste 201
Little Rock, AR 72205
Phone 5016644532113
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
2602 Saint Michael Dr
Ste 301
Texarkana, TX 75503
Phone (903) 614-5258
2604 Saint Michael Dr
Ste 239
Texarkana, TX 75503
Phone (903) 614-5330
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Organizations & group practices 13
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.
-
dba YPS Anesthesia Services
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
AR, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Malvern, AR
- NPI 1184975955
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hot Springs, AR
- NPI 1982955621
Nurse Anesthetist, Certified Registered
-
dba Childrens University Medical Group
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
dba CHRISTUS St Michael Rehabilitation Hospital
- Rehabilitation Hospital Unit
- Texarkana, TX
- NPI 1467453902
-
dba CHRISTUS St Michael Atlanta Wound Care Center
- General Practice Physician
- Atlanta, TX
- NPI 1871916650
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1316144546
-
- General Practice Physician
- Hot Springs, AR
- NPI 1497880124
Hospital
-
- Psychiatric Hospital Unit
- Hot Springs, AR
- NPI 1619915949
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1689628232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1427412188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S UNIVERSITY AVE STE 500",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055307",
"telephone_number": "501-664-4532",
"fax_number": "501-663-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WERNER ST",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136406",
"telephone_number": "501-664-4532"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St # 515",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-1146",
"fax_number": "504-036-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2602 Saint Michael Dr Ste 301",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755035206",
"country_code": "US",
"telephone_number": "903-614-5258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCKOW",
"first_name": "SIMONA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-08",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R079370",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP143384",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C003152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.