Active NPI
Lawton Allen Hicks, CRNA
- Certified Registered Nurse Anesthetist
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1376263121
- Practice address
- 3901 Rainbow Blvd
Kansas City, KS 66160-8500 - Phone
- (913) 588-6670
- Fax
- (913) 588-3365
- NPI assigned
- May 14, 2012
- Sex
- Male
- 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 | 1376263121 | KS | Primary |
Addresses
Primary practice location
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Mailing address
PO Box 411851
Kansas City, MO 64141-1851
Phone (913) 588-6670
Other practice location 1
9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone (913) 632-2230
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02332005 | Other | KS | RAILROAD |
| 200878560D | Medicaid | KS | |
| 47411058 | Other | KS | BCBS KC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9100 W 14TH St
Shawnee Mission, KS 66204-4004
Phone (913) 632-2230
Hospital & facility affiliations
- Adventhealth Shawnee Mission
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1376263121 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kansas Anesthesiology Professionals PA | Current | Accepting new patients | |
| Kansas Surgery Center, LLC | Current | Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367
10995 Quivira Rd
Overland Park, KS 66210
Phone (913) 685-2211
10995 Quivira Rd
Ste 200
Overland Park, KS 66210
9301 W 74th St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 632-9300
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Shawnee Mission, KS
- NPI 1336192392
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1588142723
-
- Ambulatory Surgical Clinic/Center
- Overland Park, KS
- NPI 1366117988
-
- Certified Registered Nurse Anesthetist
- Ottawa, KS
- NPI 1952372450
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Merriam, KS
- NPI 1023171634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1487913240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411851",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641411851",
"telephone_number": "913-588-6670",
"fax_number": "913-588-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-6670",
"fax_number": "913-588-3365"
}
],
"practiceLocations": [
{
"address_1": "9100 W 74th St",
"address_purpose": "LOCATION",
"city": "Shawnee Mission",
"state": "KS",
"postal_code": "662044004",
"country_code": "US",
"telephone_number": "913-632-2230",
"fax_number": "913-632-2297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "LAWTON",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-14",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "1376263121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P02332005",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200878560D",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "47411058",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.