Active NPI
Kay McDonald Astroth, CRNA
- Registered Nurse
- San Rafael, CA
National Provider Identifier
1457414872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 522561
- Practice address
- 99 Montecillo Rd
San Rafael, CA 94903-3308 - Phone
- (415) 444-6646
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 522561 | CA | Primary |
Addresses
Primary practice location
99 Montecillo Rd
San Rafael, CA 94903-3308
Mailing address
99 Montecillo Rd
San Rafael, CA 94903-3308
Phone (415) 444-2183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040607000726 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5496737090 | Practice locations: San Rafael, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2234 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1457414872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 MONTECILLO RD",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033308",
"telephone_number": "415-444-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 MONTECILLO RD",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033308",
"telephone_number": "415-444-6646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTROTH",
"first_name": "KAY",
"middle_name": "MCDONALD",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "522561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.