Active NPI
Kristen Marie Petersen, CRNA
- Certified Registered Nurse Anesthetist
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 705741
- Practice address
- 339 Ridgebriar Dr
Richardson, TX 75080-1920 - Phone
- (214) 244-1756
- NPI assigned
- Feb 24, 2009
- Last updated
- Sep 24, 2019
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 705741 | TX | Primary |
Addresses
Primary practice location
339 Ridgebriar Dr
Richardson, TX 75080-1920
Mailing address
13488 Thornton Dr
Frisco, TX 75035-7393
Phone (214) 244-1756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 705741 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Anesthesia Partners, PLLC | Current | Accepting new patients | |
| Orthomed Staffing LLC | Current | Accepting new patients | |
| Reliance Anesthesia Group, PLLC | Current | Accepting new patients | |
| Vertex Anesthesia, PLLC | Current | Accepting new patients | |
| Anesthesiology Consultants of North Texas PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Assured Anesthesia Consultants, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations (25 of 30)
16415 Addison Rd
Addison, TX 75001
Phone (214) 414-3806
17051 Dallas Pkwy
Ste 100
Addison, TX 75001
Phone (469) 718-5260
1105 Central Expy N
Ste 210
Allen, TX 75013
Phone (972) 747-4646
1105 Central Expy N
Ste 380
Allen, TX 75013
Phone (972) 747-5840
700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102
1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700
12230 Coit Rd
Ste 200
Dallas, TX 75251
Phone (469) 374-6400
2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000
7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000
7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000
5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500
1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600
2300 Marie Curie Dr
Garland, TX 75042
Phone (972) 487-5000
1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425
7010 Champions Plaza Dr
Ste 300
Houston, TX 77069
Phone (832) 698-5320
400 W Lyndon B Johnson Fwy
Ste 101
Irving, TX 75063
Phone (972) 868-4000
2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321
8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400
2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
4100 Mapleshade Ln
Plano, TX 75093
Phone (917) 216-6285
4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000
4708 Alliance Blvd
Ste 210
Plano, TX 75093
Phone (469) 800-6021
Organizations & group practices 8
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
- Arlington, TX
- NPI 1699712596
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Addison, TX
- NPI 1225514276
-
- Anesthesiology Physician
- Hurst, TX
- NPI 1467865600
-
- Anesthesiology Physician
- Southlake, TX
- NPI 1144673468
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1487106175
-
- Certified Registered Nurse Anesthetist
- Plano, TX
- NPI 1861975518
-
- Certified Registered Nurse Anesthetist
- Plano, TX
- NPI 1508390519
-
- Anesthesiology Physician
- Garland, TX
- NPI 1396022927
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1467692905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13488 THORNTON DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750357393",
"telephone_number": "214-244-1756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 RIDGEBRIAR DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750801920",
"telephone_number": "214-244-1756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "KRISTEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "705741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.